FAMILY HEALTH CENTER OF SOUTHERN OKLAHOMA INC NPI 1174830665

NPI Information

FAMILY HEALTH CENTER OF SOUTHERN OKLAHOMA INC is a federally qualified health center (fqhc) clinic center in Coalgate, OK. FAMILY HEALTH CENTER OF SOUTHERN OKLAHOMA INC NPI is 1174830665. The provider is registered as an organization entity type.

The provider's business location address is:

107 E POST AVE
COALGATE, OK
ZIP 74538-004
Phone: (580) 927-2828
Fax: (580) 927-9876

The provider's authorized official is Michelle L Orr .
The authorized official title is Credentialing Specialist and has the following contact phone number (580) 371-2343.

The CLIA number assigned to this NPI record is 37D2015180 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/7/2010 and was last updated on 8/28/2012.

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:

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