Central Oklahoma Family Medical Center

NPI #1598911752 in Prague, Oklahoma

Provider Information

NPI Number: 1598911752
Entity Type: Organization
Organization Name: Central Oklahoma Family Medical Center
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Aug 7, 2008
Last Updated: Aug 7, 2008

Practice Location

Address: NBU 1706 HIGHWAY 99 SOUTH
City: Prague
State: Oklahoma
ZIP Code: 74864
Phone: (580) 925-3286

Authorized Official

Name: MR. CASEY HAROLD ANSON
Title: EXECUTIVE DIRECTOR
Phone: (580) 925-3286

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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