| NPI | 1174830665 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2010-09-07 |
| Last Updated | 2024-08-21 |
| Authorized Official | Ashley Wells Credentialing Officer Phone: 5803870509 |
| Mailing Address | 610 E 24th St Tishomingo, OK 73460-3245 United States Phone: (580) 371-2343 | Fax: (580) 371-3614 📍 View Map |
| Primary Practice Address | 107 E Post Ave Coalgate, OK 74538-3004 United States Phone: (580) 927-2828 | Fax: (580) 258-3000 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | OK | 200322700A | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 261QF0400X – Clinic/Center, Federally Qualified Health Center (FQHC) | OK | - |
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About NPI 1174830665
Family Health Center Of Southern Oklahoma Inc is an organization registered in the CMS NPPES NPI Registry with NPI number 1174830665. The primary specialty listed is Clinic/Center, Federally Qualified Health Center (FQHC). The organization is located in Coalgate, OK. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2010-09-07. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1174830665?
NPI 1174830665 belongs to Family Health Center Of Southern Oklahoma Inc, a Clinic/Center, Federally Qualified Health Center (FQHC) in Coalgate, OK. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1174830665 active?
The current status of NPI 1174830665 in the NPPES registry is Active. The record was last updated on 2024-08-21.
What specialty is NPI 1174830665?
NPI 1174830665 is classified under the taxonomy Clinic/Center, Federally Qualified Health Center (FQHC). Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1174830665?
You can verify NPI 1174830665 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1174830665?
The primary practice address on file for NPI 1174830665 is 107 E Post Ave, Coalgate, OK 74538-3004. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1174830665 issued?
NPI 1174830665 was first issued (enumerated) on 2010-09-07. The NPPES record was last updated on 2024-08-21.
Practice Location Map
Family Health Center Of Southern Oklahoma Inc is located at 107 E Post Ave, Coalgate, OK. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Family Health Center Of Southern Oklahoma Inc. All records sourced from the CMS NPPES registry.