CENTRAL OK FAMILY MED CTR NPI 1720290539

NPI Information

  • NPI: 1720290539
  • Provider Name: CENTRAL OK FAMILY MED CTR
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Other Name: COFMC PRAGUE
  • Address: RT 1 BOX 85A
    PRAGUE, OK
    ZIP 74864
  • Phone: (405) 567-0054

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NPI Details

CENTRAL OK FAMILY MED CTR is a mental health (including community mental health center) clinic center in Prague, OK. CENTRAL OK FAMILY MED CTR NPI is 1720290539. The provider is registered as an organization entity type.
The provider Other Name Is Cofmc Prague.

The provider's business location address is:

RT 1 BOX 85A
PRAGUE, OK
ZIP 74864
Phone: (405) 567-0054
Fax: (405) 567-0087

The provider's authorized official is Casey H Anson .
The authorized official title is Executive Director and has the following contact phone number (580) 925-8819.

The enumeration date for this NPI number is 5/4/2007 and was last updated on 8/22/2020.

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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

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: 11/21/2025

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