CENTRAL OK FAMILY MED CTR – NPI #1720290539
Clinic/Center

CENTRAL OK FAMILY MED CTR is an AHC clinic located in PRAGUE, OK. NPPES has assigned the NPI number 1720290539 to CENTRAL OK FAMILY MED CTR on May 04, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. CENTRAL OK FAMILY MED CTR is also known by the name COFMC PRAGUE. The primary taxonomy selected by this provider is 261QM0801X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Mental Health (Including Community Mental Health Center)

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. 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 CENTRAL OK FAMILY MED CTR below.

NPI Profile for
CENTRAL OK FAMILY MED CTR

NPI Number
1720290539
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
CENTRAL OK FAMILY MED CTR
Other Name: COFMC PRAGUE
Primary location
RT 1 BOX 85A
PRAGUE, OK 74864
Phone: (405) 567-0054 Fax: (405) 567-0087
Mailing address
PO BOX 358
527 W 3RD ST
KONAWA, OK 74849
Phone: (580) 925-3286 Fax: (580) 925-2362
Organization Subpart
No
Authorized Official
CASEY ANSON
EXECUTIVE DIRECTOR
Phone: (580) 925-8819
Updated
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
261QM0801X
- Clinic/Center / Mental Health (Including Community Mental Health Center) (Primary)

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.