Central Ok Family Med Ctr in Konawa - Mental Health (including Community Mental Health Center)
Central Ok Family Med Ctr - NPI 1194937904
Central Ok Family Med Ctr is a Mental Health (including Community Mental Health Center) in Konawa, Oklahoma. Central Ok Family Med Ctr practices all healthcare services and medical treatments related to Mental Health (including Community Mental Health Center). The NPI Number for Central Ok Family Med Ctr is 1194937904. The last update date is 2010-10-04.
Central Ok Family Med Ctr's current location address is Po Box 358, Konawa, Oklahoma. You can contact this provider via phone number 5809253286 and fax number 5809252362. The mailing address for Central Ok Family Med Ctr is Po Box 358, Konawa, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Central Ok Family Med Ctr |
|---|---|
| Address | Po Box 358, Konawa, Oklahoma |
| Phone Number | 5809253286 |
| Fax Number | 5809252362 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | INTERIM CE |
|---|---|
| Authorized Official Name | Sharp Denise |
| Credentials | AR,NP. |
| Telephone Number | 5809253286 |
NPI Number Detail
| NPI Number | 1194937904 |
|---|---|
| Provider Enumeration Date | 2007-05-04 |
| Last Updated Date | 2010-10-04 |
Provider Mailing Address Detail
| Address | Po Box 358 |
|---|---|
| City | Konawa |
| State | Oklahoma (OK) |
| Post Code | 74849 |
| Phone Number | 5809253286 |
| Fax Number | 5809252362 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health (including Community Mental Health Center) |
|---|---|
| Taxonomy | 261Qm0801X |
|
Definition: Assesses and treats psychiatric issues, mental illnesses, and substance abuse disorders through counseling, therapy, and medication management. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100737160D | OK | -- |
Post Comment/ Review Below
What is the Central Ok Family Med Ctr's 1194937904?
The Central Ok Family Med Ctr's NPI (National Provider Identifier) Number is 1194937904. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Central Ok Family Med Ctr's physical address?
The Central Ok Family Med Ctr is physically located at Po Box 358, in the city of Konawa, OK, with the postal code 74849.
What is the Central Ok Family Med Ctr's specialty and taxonomy code?
The Central Ok Family Med Ctr's specialty is Mental Health (including Community Mental Health Center), and the corresponding taxonomy code is 261Qm0801X.
On what date did the Centers for Medicare & Medicaid Services assign the 1194937904 to Central Ok Family Med Ctr?
The Centers for Medicare & Medicaid Services assigned the 1194937904 to Central Ok Family Med Ctr on 2007-05-04.
As of what date was the information regarding Central Ok Family Med Ctr, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Central Ok Family Med Ctr, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-10-04.
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