Central Ok Family Med Ctr

NPI #1649485996 in Konawa, Oklahoma

Provider Information

NPI Number: 1649485996
Entity Type: Organization
Organization Name: Central Ok Family Med Ctr
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: May 11, 2007
Last Updated: Oct 4, 2010

Practice Location

Address: 527 W 3RD ST
City: Konawa
State: Oklahoma
ZIP Code: 74849
Phone: (580) 925-3286

Authorized Official

Name: MRS. DENISE SHARP, ARNP
Title: INTERIM CE.O.
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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