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CENTRAL OKLAHOMA FAMILY MEDICAL CENTER NPI 1730347329


NPI Information

NPI: 1730347329
Provider Name: CENTRAL OKLAHOMA FAMILY MEDICAL CENTER
Classification: Respite Care - 385H00000X
Entity Type: Organization
Address:
527 W 3RD ST
KONAWA, OK
ZIP 74849
Phone: (580) 925-3286
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CENTRAL OKLAHOMA FAMILY MEDICAL CENTER is a respite care in Konawa, OK. CENTRAL OKLAHOMA FAMILY MEDICAL CENTER NPI is 1730347329. The provider is registered as an organization entity type.

The provider's business location address is:

527 W 3RD ST
KONAWA, OK
ZIP 74849-415
Phone: (580) 925-3286

The provider's authorized official is Casey Harold Anson .
The authorized official title is Executive Director and has the following contact phone number (580) 925-3286.

The enumeration date for this NPI number is 5/30/2008 and was last updated on 1/31/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1385H00000XRespite CareYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1100737160SMEDICAIDOKLAHOMA

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: 4/28/2024

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