| Oklahoma Families First Inc | |
|
928 N York St Ste 44b Muskogee OK 74403 | |
| (405) 360-2133 | |
| (405) 360-4821 |
| Full Name | Oklahoma Families First Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 928 N York St Ste 44b, Muskogee, Oklahoma |
| Authorized Official Name and Position | Stephanie Wilson (QA/UR DIRECTOR) |
| Authorized Official Contact | 4053602133 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oklahoma Families First Inc 2600 Van Buren St Ste 2634 Norman OK 73072-5610 Ph: (405) 360-2133 | Oklahoma Families First Inc 928 N York St Ste 44b Muskogee OK 74403 Ph: (405) 360-2133 |
| NPI Number | 1992807861 |
|---|---|
| Provider Enumeration Date | 09/02/2006 |
| Last Update Date | 04/26/2021 |
| Certification Date | 04/26/2021 |
| Medicare PECOS PAC ID | 8628323912 |
|---|---|
| Medicare Enrollment ID | O20180608000463 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992807861 | NPI | - | NPPES |
| 100744520 T | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Stephanie D Rogers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801129465 PECOS PAC ID: 7618227109 Enrollment ID: I20180904002064 |
| Provider Name | Michael L Simmons |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1922219864 PECOS PAC ID: 0446600449 Enrollment ID: I20240102003760 |
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