CENTRAL OKLAHOMA FAMILY MEDICAL CENTER, INC (NPI# 1184286726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184286726 |
| Entity Type | Organization |
| Organization Name | CENTRAL OKLAHOMA FAMILY MEDICAL CENTER, INC |
| Other Organization Name | CENTRAL OKLAHOMA FAMILY MEDICAL CENTER STRATFORD |
| Practice Address |
302 W Smith Street Stratford OK 74872-4648 |
| Mailing Address |
527 W 3rd St Konawa OK 74849-1415 |
| Practice Telephone | 5804365111 |
| Practice Fax Number | 5804361159 |
| Mailing Telephone | 5809253286 |
| Mailing Fax Number | 5809252362 |
| Enumeration Date | 2019-07-03 |
| Last Update Date | 2019-07-09 |
| Authorized Official Name | BRENDA WARE (CEO) |
| Authorized Official Telephone | 5809253286 |
| Is Organization Subpart | Y |
| Parent Organization Name | CENTRAL OKLAHOMA FAMILY MEDICAL CENTER, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Central Oklahoma Family Medical Center Stratford | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063988673 | Central Oklahoma Family Medical Center, Inc | Clinic/Center | 905 Colony Drive Bldg, Ada, OK 74820 | 2018-10-22 |
| 1285013540 | Central Oklahoma Family Medical Center, Inc | Specialist | 527 W 3rd St, Konawa, OK 74849-1415 | 2015-05-20 |
| Street Address |
302 W SMITH STREET |
| City | STRATFORD |
| State | OK |
| Zip Code | 74872-4648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780137208 | Rhonda Prichard | Case Manager/Care Coordinator | 200 Cottonwood Circle, Stratford, OK 74872 | 2016-08-02 |
| 1114309317 | Destiny Ruosa Mitchell | Nurse Practitioner | 217 W Smith Street, Stratford, OK 74872 | 2015-06-24 |
| 1285813089 | Tanya June Hudson | Nurse Practitioner | 217 W. Smith Street, Stratford, OK 74872 | 2007-10-29 |
| 1124160254 | Stratford Public Schools | Local Education Agency (LEA) | 341 N. Elm, Stratford, OK 74872 | 2007-02-13 |
| 1649224619 | Martin J Kubier | Physician Assistant | 217 W Smith, Stratford, OK 74872 | 2006-05-22 |
| 1720422785 | Mercy Hospital Ada, Inc | Clinic/Center | 217 West Smith St, Stratford, OK 74872 | 2013-04-22 |
| 1346306644 | Medical Center of Stratford | Family Medicine | 217 W Smith, Stratford, OK 74872 | 2006-12-29 |
| 1801003934 | Valley View Regional Hospital | Clinic/Center | 217 West Smith St, Stratford, OK 74872-0001 | 2007-05-17 |
| 1669559746 | Jason T Mcdonald | Pharmacist | 120 West Main, Stratford, OK 74872-0150 | 2006-11-01 |
| 1538230354 | Bayless Drug Inc | Durable Medical Equipment & Medical Supplies | 120 W Main, Stratford, OK 74872-0150 | 2006-11-13 |
| Find all providers in zip 74872 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1992176267 | Avenal Community Health Center | Clinic/Center | 20326 Main Street, Stratford, CA 93266 | 2015-10-13 |
| 1922378496 | Optimus Health Care Inc | Clinic/Center | 727 Honeyspot Rd, Stratford, CT 06615-7172 | 2011-12-30 |
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|---|---|---|---|---|
| 1902404965 | Variety Care, Inc. | Clinic/Center | 201 Ne 50th St Ste 117, Oklahoma City, OK 73105-1811 | 2020-10-13 |
| 1699318550 | Community Health Center of Northeast Oklahoma, Inc. | Clinic/Center | 220 S Mickey Mantle Blvd, Commerce, OK 74339-2924 | 2019-10-23 |
| 1013567940 | Community Health Center of Southeast Kansas, Inc. | Clinic/Center | 7 S 1st St, Wyandotte, OK 74370-2268 | 2019-09-12 |
| 1013569961 | Community Health Connection, Inc. | Clinic/Center | 13702 E 46th Pl, Tulsa, OK 74134-5919 | 2019-07-11 |
| 1982263752 | Shortgrass Community Health Center, Inc | Clinic/Center | 211 East Broadway, Altus, OK 73521 | 2019-06-06 |
| 1265902589 | Community Health Center of Northeast Oklahoma | Clinic/Center | 244 S Scraper Suite D, Vinita, OK 74301-3716 | 2018-11-29 |
| 1063988673 | Central Oklahoma Family Medical Center, Inc | Clinic/Center | 905 Colony Drive Bldg, Ada, OK 74820 | 2018-10-22 |
| 1306352547 | Variety Care, Inc. | Clinic/Center | 721 W Britton Rd, Oklahoma City, OK 73114-2909 | 2017-12-26 |
| 1568976991 | Arkansas Verdigris Valley Health Centers,inc. | Clinic/Center | 201 North 32nd Street, Muskogee, OK 74401-2104 | 2017-11-21 |
| 1164941670 | Community Health Center of Northeast Oklahoma | Clinic/Center | 343 S. Commercial Street, Welch, OK 74369 | 2017-09-15 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.