Family Health Center of Southern Oklahoma INC
NPI #1598140212 in Tishomingo, Oklahoma
Provider Information
- NPI Number
- 1598140212
- 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 - Primary Care
- Enumeration Date
- Jul 23, 2015
- Last Updated
- Aug 21, 2024
Practice Location
- Address
- 610 E 24TH ST
- City
- Tishomingo
- State
- Oklahoma
- ZIP Code
- 73460-3245
- Phone
- (580) 371-2343
Authorized Official
- Name
- ASHLEY WELLS
- Title
- CREDENTIALING OFFICER
- Phone
- (580) 387-0509
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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