| Central Oklahoma Family Medical Center Inc | |
|
304 N Monte Vista Street Ada OK 74820-7484 | |
| (580) 436-5111 | |
| (580) 925-9147 |
| Full Name | Central Oklahoma Family Medical Center Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 304 N Monte Vista Street, Ada, Oklahoma |
| Authorized Official Name and Position | Brenda Ware (CEO) |
| Authorized Official Contact | 5809253286 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Oklahoma Family Medical Center Inc 527 W 3rd St Konawa OK 74849-1415 Ph: (580) 925-3286 | Central Oklahoma Family Medical Center Inc 304 N Monte Vista Street Ada OK 74820-7484 Ph: (580) 436-5111 |
| NPI Number | 1295500429 |
|---|---|
| Provider Enumeration Date | 11/17/2023 |
| Last Update Date | 03/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295500429 | NPI | - | NPPES |
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