EAST CENTRAL OKLAHOMA FAMILY HEALTH CENTER, INC.


Address: 121 N. Mekusukey Avenue, Wewoka, OK 74884
Phone: 4054525400

EAST CENTRAL OKLAHOMA FAMILY HEALTH CENTER, INC. (NPI# 1093184145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093184145
Entity Type Organization
Organization Name EAST CENTRAL OKLAHOMA FAMILY HEALTH CENTER, INC.
Other Organization Name EAST CENTRAL OKLAHOMA FAMILY HEALTH CENTER, INC. - WEWOKA
Practice Address 121 N. Mekusukey Avenue
Wewoka
OK 74884
Mailing Address Po Box 236
Wetumka
OK 74883-0236
Practice Telephone 4054525400
Practice Fax Number 4054523310
Mailing Telephone 4054523151
Mailing Fax Number 4054523310
Enumeration Date 2015-09-18
Last Update Date 2016-01-21
Authorized Official Name MRS. DONNA SUE DYER (CEO)
Authorized Official Telephone 4054523151
Authorized Official Credential MSHR
Is Organization Subpart Y
Parent Organization Name EAST CENTRAL OKLAHOMA FAMILY HEALTH CENTER, INC.

Taxonomy

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 Provider Identifier

State Issuer Identifier Type Code
OK 200235450E 05

Other Provider/Organization Names

Other Name Type Code
East Central Oklahoma Family Health Center, Inc. - Wewoka Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1881943389 East Central Oklahoma Family Health Center, Inc. Clinic/Center 104 E Shurden Industrial Blvd, Henryetta, OK 74437-7323 2012-08-30

Other Data Sources

Entity Type Entity Name Entity Address
Oklahoma Business Registrations EAST CENTRAL OKLAHOMA FAMILY HEALTH CENTER, INC. 109 S Main, Wetumka, OK 74883

Office Location

Street Address 121 N. MEKUSUKEY AVENUE
City WEWOKA
State OK
Zip Code 74884

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1841798626 Luvey Deatherage Physician Assistant 36640 Old Hwy 270, Wewoka, OK 74884 2018-01-26
1730604422 Robert Adarme Montanez Pharmacist 36640 Hwy 270 Barking Water Rd, Wewoka, OK 74884 2017-08-03
1447788484 Domika Kinman Dental Hygienist 36640 Highway 270, Wewoka, OK 74884 2017-06-02
1942737101 Aaron Jahmal Johnson Pharmacist 36640 Hwy 270 and Barking Water Road, Wewoka, OK 74884 2017-05-18
1912434689 Shannon Lowe Pharmacist 36640 Hwy 270 & Barkingwater Rd, Wewoka, OK 74884 2017-05-12
1225483522 Indian Health Service-wewoka Clinic/Center Jct Hwys 56 & 270, Wewoka, OK 74884 2016-04-25
1841667441 Chandler Hall Dentist Hwy 56 and 270 Jct, Wewoka, OK 74884 2015-08-31
1285989459 Sherry Goines Loving Counselor 221 N. Wewoka Ave, Wewoka, OK 74884 2012-07-13
1053681346 Misty Smith Dental Hygienist Hwy 270 & 56 Jct, Wewoka, OK 74884 2012-01-04
1922308030 Alicia Ann Boatright Registered Nurse Us Highway 56 & 270 Junction, Wewoka, OK 74884 2010-10-25
Find all providers in zip 74884

Taxonomy Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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
1184286726 Central Oklahoma Family Medical Center, Inc Clinic/Center 302 W Smith Street, Stratford, OK 74872-4648 2019-07-03
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
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Competitor

Search similar providers

City WEWOKA
Zip Code 74884

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Dataset Information

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.

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