| Southeastern Oklahoma Family Services, Inc. | |
|
771 W 13th St Atoka OK 74525-3712 | |
| (580) 889-5555 | |
| Not Available |
| Full Name | Southeastern Oklahoma Family Services, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 771 W 13th St, Atoka, Oklahoma |
| Authorized Official Name and Position | Virginia Ragan (CEO) |
| Authorized Official Contact | 5807459610 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeastern Oklahoma Family Services, Inc. Po Box 1710 Kingston OK 73439-1710 Ph: (580) 564-7374 | Southeastern Oklahoma Family Services, Inc. 771 W 13th St Atoka OK 74525-3712 Ph: (580) 889-5555 |
| NPI Number | 1841618097 |
|---|---|
| Provider Enumeration Date | 04/04/2014 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841618097 | NPI | - | NPPES |
| 100708380 | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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