FAMILY HEALTH CENTER OF SOUTHERN OKLAHOMA INC – NPI #1598803942
Clinic/Center

FAMILY HEALTH CENTER OF SOUTHERN OKLAHOMA INC is an AHC clinic located in TISHOMINGO, OK. NPPES has assigned the NPI number 1598803942 to FAMILY HEALTH CENTER OF SOUTHERN OKLAHOMA INC on February 01, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was last updated on Apr 06, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FAMILY HEALTH CENTER OF SOUTHERN OKLAHOMA INC below.

NPI Profile for
FAMILY HEALTH CENTER OF SOUTHERN OKLAHOMA INC

NPI Number
1598803942
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
FAMILY HEALTH CENTER OF SOUTHERN OKLAHOMA INC
Primary location
610 E 24TH ST
TISHOMINGO, OK 73460-3245
Phone: (580) 371-2343 Fax: (580) 371-3614
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ASHLEY WELLS
CREDENTIALING OFFICER
Phone: (580) 387-0509
Updated
Certification Date
Apr 06, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for FAMILY HEALTH CENTER OF SOUTHERN OKLAHOMA INC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidOK200018910C
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)		 OK

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.