| Central Oklahoma Family Medical Center, Inc. | |
|
201 W Main St Stonewall OK 74871 | |
| (580) 925-3286 | |
| (580) 925-9149 |
| Full Name | Central Oklahoma Family Medical Center, Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 201 W Main St, Stonewall, 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. 201 W Main St Stonewall OK 74871 Ph: (580) 925-3286 |
| NPI Number | 1659708915 |
|---|---|
| Provider Enumeration Date | 10/02/2013 |
| Last Update Date | 10/02/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659708915 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Oklahoma) | Primary |