Central Oklahoma Family Medical Center in Konawa - Residential Treatment Facility, Emotionally Disturbed Children
Central Oklahoma Family Medical Center - NPI 1215196340
Central Oklahoma Family Medical Center is a Residential Treatment Facility, Emotionally Disturbed Children in Konawa, Oklahoma. Central Oklahoma Family Medical Center practices all healthcare services and medical treatments related to Residential Treatment Facility, Emotionally Disturbed Children. The NPI Number for Central Oklahoma Family Medical Center is 1215196340. The last update date is 2010-10-04.
Central Oklahoma Family Medical Center's current location address is 527 W 3rd St, Konawa, Oklahoma. You can contact this provider via phone number 5809253286. 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 | 5809253286 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | INTERIM CE |
|---|---|
| Authorized Official Name | Sharp Denise |
| Credentials | ARN.P. |
| Telephone Number | 5809253286 |
NPI Number Detail
| NPI Number | 1215196340 |
|---|---|
| Provider Enumeration Date | 2008-06-04 |
| Last Updated Date | 2010-10-04 |
Provider Mailing Address Detail
| Address | 527 W 3rd St |
|---|---|
| City | Konawa |
| State | Oklahoma (OK) |
| Post Code | 748491415 |
| Phone Number | 5809253286 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
|---|---|
| Taxonomy | 322D00000X |
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Definition: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. |
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What is the Central Oklahoma Family Medical Center's unique identification number?
The Central Oklahoma Family Medical Center has been assigned the NPI (National Provider Identifier) Number 1215196340 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
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 Central Oklahoma Family Medical Center's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Central Oklahoma Family Medical Center is Residential Treatment Facility, Emotionally Disturbed Children, and the corresponding taxonomy classification code for this specialized field is 322D00000X.
On what date did Central Oklahoma Family Medical Center receive its 1215196340 assignment from the Centers for Medicare & Medicaid Services?
The Central Oklahoma Family Medical Center was assigned its 1215196340 on 2008-06-04, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
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 2010-10-04.