CENTRAL OKLAHOMA FAMILY MEDICAL CENTER – NPI #1215196340
Residential Treatment Facility, Emotionally Disturbed Children

A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

CENTRAL OKLAHOMA FAMILY MEDICAL CENTER is a residential treatment facility located in KONAWA, OK. NPPES has assigned the NPI number 1215196340 to CENTRAL OKLAHOMA FAMILY MEDICAL CENTER on June 04, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. CENTRAL OKLAHOMA FAMILY MEDICAL CENTER is also known by the name PADEN DAY TREATMENT. The primary taxonomy selected by this provider is 322D00000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Emotionally Disturbed Children.

The NPI profile was previously updated about 16 years ago on Oct 04, 2010. 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 OKLAHOMA FAMILY MEDICAL CENTER below.

NPI Profile for
CENTRAL OKLAHOMA FAMILY MEDICAL CENTER

NPI Number
1215196340
Enumeration Date

(more than 18 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 OKLAHOMA FAMILY MEDICAL CENTER
Other Name: PADEN DAY TREATMENT
Primary location
527 W 3RD ST
KONAWA, OK 74849-1415
Phone: (580) 925-3286 Fax:
Mailing address
Same as primary location
Organization Subpart
Yes - CENTRAL OKLAHOMA FAMILY MEDICAL CENTER is subpart of another organization.
Authorized Official
DENISE SHARP
INTERIM CEO
Phone: (580) 925-3286
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
322D00000X
- Residential Treatment Facility, Emotionally Disturbed Children (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.