NPI 1306973094 CENTRAL OKLAHOMA FAMILY MEDICAL CENTER KONAWA OK. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Central Oklahoma Family Medical Center - NPI: 1306973094

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Organization Name: CENTRAL OKLAHOMA FAMILY MEDICAL CENTER
NPI Number: 1306973094
Entity Type Code: Organizational (2)
Authorized Official Name: KASEY LEE BRUNDIDGE
(PA-C)
Mailing Address: 527 W 3rd St
Konawa
State: OK US
Postal Code: 748491415
Phone Number: 5809253266
Fax Number: 5809259149
NPI Enumeration Date: 02/28/2007
NPI Last Update Date: 07/08/2007
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 261QF0400X
License Number: 1618
Healthcare Provider Taxonomy:
(Secondary)
Y
State: OK
Taxonomy Type: Ambulatory Health Care Facilities
Taxonomy Classification: Clinic/Center
Taxonomy Specialization: Federally Qualified Health Center (FQHC)
Taxonomy Definition:


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