NPI 1063988673

Central Oklahoma Family Medical Center, INC

Organisation Federally Qualified Health Center (FQHC) Ada, OK

Practice location

Address: 905 Colony Drive Bldg, Ada, OK 74820
Phone: (580) 925-3286
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

Ambulatory Health Care Facilities Taxonomy 261QF0400X

Other Clinic/Center providers in Oklahoma →

Registry record

NPI: 1063988673
Entity type: Organization
NPI issued: 22 Oct 2018
Record last updated: 22 Oct 2018

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.