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FAMILY HEALTH CENTER OF SOUTHERN OKLAHOMA INC NPI 1598140212


NPI Information

NPI: 1598140212
Provider Name: FAMILY HEALTH CENTER OF SOUTHERN OKLAHOMA, INC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
610 E 24TH ST
TISHOMINGO, OK
ZIP 73460
Phone: (580) 371-2343
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FAMILY HEALTH CENTER OF SOUTHERN OKLAHOMA, INC is a primary care clinic center in Tishomingo, OK. FAMILY HEALTH CENTER OF SOUTHERN OKLAHOMA, INC NPI is 1598140212. The provider is registered as an organization entity type.

The provider's business location address is:

610 E 24TH ST
TISHOMINGO, OK
ZIP 73460-245
Phone: (580) 371-2343
Fax: (580) 371-2451

The provider's authorized official is Tina J Davis .
The authorized official title is Ceo and has the following contact phone number (580) 371-2343.

The enumeration date for this NPI number is 7/23/2015 and was last updated on 7/23/2015.


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
1261QP2300XClinic/CenterPrimary CareYes

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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