NPI 1023868528
Central Oklahoma Family Medical Center INC
Practice location
- Address
- 325 N Monte Vista St, Ada, OK 74820-4607
- Phone
- (580) 436-5111
- Fax
- (580) 925-9149
- Mailing address
- 527 W 3rd St, Konawa, OK 74849-1415
Authorised official
- Name
- Brenda Ware
- Title
- Ceo
- Phone
- (580) 925-3286
Registered specialties
Federally Qualified Health Center (FQHC)
Primary
Registry record
- NPI
- 1023868528
- Entity type
- Organization
- NPI issued
- 26 Mar 2024
- Record last updated
- 1 Apr 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.