| Family Health Center Of Southern Oklahoma Inc | |
|
21 N Main St Kingston OK 73439-6562 | |
| (580) 564-7885 | |
| (580) 564-7902 |
| Full Name | Family Health Center Of Southern Oklahoma Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 21 N Main St, Kingston, Oklahoma |
| Authorized Official Name and Position | Ashley Wells (CREDENTIALING OFFICER) |
| Authorized Official Contact | 5803870509 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Health Center Of Southern Oklahoma Inc 610 E 24th St Tishomingo OK 73460-3245 Ph: (580) 371-2343 | Family Health Center Of Southern Oklahoma Inc 21 N Main St Kingston OK 73439-6562 Ph: (580) 564-7885 |
| NPI Number | 1982267910 |
|---|---|
| Provider Enumeration Date | 04/16/2019 |
| Last Update Date | 08/21/2024 |
| Medicare PECOS PAC ID | 4284537457 |
|---|---|
| Medicare Enrollment ID | O20191101000097 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982267910 | NPI | - | NPPES |
| 200018910G | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Clinic At 410 Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 410 Hwy 70, Kingston, OK 73439 Phone: 580-565-9975 Fax: 888-241-2340 | |
Baptist Healthcare Of Oklahoma Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 S Muncrief At Hwy 70, Kingston, OK 73439 Phone: 580-564-4944 Fax: 580-564-4344 | |
Lakeside Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 21 N. Main Street, Kingston, OK 73439 Phone: 580-226-1010 | |
Marshall County Hma, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 701 Highway 70 E, Kingston, OK 73439 Phone: 580-624-6070 Fax: 580-654-7405 | |
Team Clinics Ah, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 705 Highway 70 N, Kingston, OK 73439 Phone: 405-546-4130 | |
Marshall County Hma Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 E. Highway 70, Kingston, OK 73439 Phone: 580-564-4944 Fax: 580-564-4344 | |
Joseph L Adams Do Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 413 N Hwy 70, Kingston, OK 73439 Phone: 580-564-2143 Fax: 580-564-3355 |