EAST CENTRAL OKLAHOMA FAMILY HEALTH CENTER INC. NPI 1093184145

NPI Information

NPI: 1093184145
Provider Name: EAST CENTRAL OKLAHOMA FAMILY HEALTH CENTER, INC.

Doing Business As: ECO FAMILY HEALTH CENTER

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
207 WEST 1ST STREET
WEWOKA, OK
ZIP 74884
Phone: (405) 257-5422
Get Directions

EAST CENTRAL OKLAHOMA FAMILY HEALTH CENTER, INC. is a federally qualified health center (fqhc) clinic center in Wewoka, OK. EAST CENTRAL OKLAHOMA FAMILY HEALTH CENTER, INC. NPI is 1093184145. The provider is registered as an organization entity type.
The provider Is Doing Business As Eco Family Health Center.

The provider's business location address is:

207 WEST 1ST STREET
WEWOKA, OK
ZIP 74884
Phone: (405) 257-5422
Fax: (405) 257-5463

The provider's authorized official is Donna Sue Dyer .
The authorized official title is Ceo and has the following contact phone number (405) 452-3151.

The CLIA number assigned to this NPI record is 37D2102430 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/18/2015 and was last updated on 3/14/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	200235450E	MEDICAID	OKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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