Organization · Type 2 NPI
Central Oklahoma Family Medical Center Inc
Federally Qualified Health Center (FQHC) · Ada, OK
NPI number
1295500429
Active
Practice location
304 N Monte Vista Street
Ada, OK 74820-7484
Fax (580) 925-9147
Mailing address
527 W 3rd St
Konawa, OK 74849-1415
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Public Health Dentistry | 1223D0001X | None listed |
| Dental Clinic/Center | 261QD0000X | None listed |
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
Another provider at this address
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About NPI 1295500429
Central Oklahoma Family Medical Center Inc's National Provider Identifier is 1295500429, issued on Nov 17, 2023. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Ada, OK. The record was last updated on Mar 1, 2024.