Central Ok Family Med Ctr

NPI #1720290539 in Prague, Oklahoma

Provider Information

NPI Number: 1720290539
Entity Type: Organization
Organization Name: Central Ok Family Med Ctr
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: May 4, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: RT 1 BOX 85A
City: Prague
State: Oklahoma
ZIP Code: 74864
Phone: (405) 567-0054

Authorized Official

Name: MR. CASEY H ANSON
Title: EXECUTIVE DIRECTOR
Phone: (580) 925-8819

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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