Family Health Center of Southern Oklahoma INC

NPI #1174830665 in Coalgate, Oklahoma

Provider Information

NPI Number
1174830665
Entity Type
Organization
Organization Name
Family Health Center of Southern Oklahoma INC
Subpart
Yes (part of a larger organization)
Parent Organization
FAMILY HEALTH CENTER OF SOUTHERN OKLAHOMA INC
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Sep 7, 2010
Last Updated
Aug 21, 2024

Practice Location

Address
107 E POST AVE
ZIP Code
74538-3004
Phone
(580) 927-2828

Authorized Official

Name
ASHLEY WELLS
Title
CREDENTIALING OFFICER
Phone
(580) 387-0509

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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