Family Health Center of Southern Oklahoma INC

NPI #1982267910 in Kingston, Oklahoma

Provider Information

NPI Number: 1982267910
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: Apr 16, 2019
Last Updated: Aug 21, 2024

Practice Location

Address: 21 N MAIN ST
City: Kingston
State: Oklahoma
ZIP Code: 73439-6562
Phone: (580) 564-7885

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC)	261QF0400X	Primary

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