Central Oklahoma Family Medical Center in Konawa - Federally Qualified Health Center (fqhc)
Central Oklahoma Family Medical Center - NPI 1306973094
Central Oklahoma Family Medical Center is a Federally Qualified Health Center (fqhc) in Konawa, Oklahoma. Central Oklahoma Family Medical Center practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Central Oklahoma Family Medical Center is 1306973094. The last update date is 2020-08-22.
Central Oklahoma Family Medical Center's current location address is 527 W 3rd St, Konawa, Oklahoma. You can contact this provider via phone number 5809253266 and fax number 5809259149. The mailing address for Central Oklahoma Family Medical Center is 527 W 3rd St, Konawa, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Central Oklahoma Family Medical Center |
|---|---|
| Address | 527 W 3rd St, Konawa, Oklahoma |
| Phone Number | 5809253266 |
| Fax Number | 5809259149 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PA-C |
|---|---|
| Authorized Official Name | Brundidge Lee Kasey |
| Credentials | MPA |
| Telephone Number | 5809253266 |
NPI Number Detail
| NPI Number | 1306973094 |
|---|---|
| Provider Enumeration Date | 2007-02-28 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 527 W 3rd St |
|---|---|
| City | Konawa |
| State | Oklahoma (OK) |
| Post Code | 748491415 |
| Phone Number | 5809253266 |
| Fax Number | 5809259149 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
| Licence No | 1618 |
|
Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
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What is the unique 10-digit identifier code issued to Central Oklahoma Family Medical Center by the Centers for Medicare & Medicaid Services?
The Central Oklahoma Family Medical Center has been assigned the NPI (National Provider Identifier) 1306973094 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Central Oklahoma Family Medical Center's facilities are situated?
The facilities of Central Oklahoma Family Medical Center are physically located at the following address: 527 W 3Rd St, Konawa, OK, 748491415.
What is the Central Oklahoma Family Medical Center's area of specialization and corresponding taxonomy classification?
The Central Oklahoma Family Medical Center's specialty field is Federally Qualified Health Center (fqhc), and it falls under the taxonomy code 261Qf0400X, which categorizes healthcare providers based on their specialties.
On what date did the Central Oklahoma Family Medical Center receive its 1306973094 assignment from the Centers for Medicare & Medicaid Services?
The Central Oklahoma Family Medical Center was assigned its 1306973094 by the Centers for Medicare & Medicaid Services on 2007-02-28.
As of what date were the Central Oklahoma Family Medical Center's details last updated?
The information pertaining to the Central Oklahoma Family Medical Center, including its address, specialty, and other details, was most recently updated on 2020-08-22.
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