CENTRAL OK FAMILY MED CTR (NPI# 1194937904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194937904 |
| Entity Type | Organization |
| Organization Name | CENTRAL OK FAMILY MED CTR |
| Other Organization Name | COFMC NOBLE |
| Practice Address |
303 72nd Se Noble OK 73068 |
| Mailing Address |
Po Box 358 527 W 3rd St Konawa OK 74849 |
| Practice Telephone | 4058721270 |
| Practice Fax Number | 4058721269 |
| Mailing Telephone | 5809253286 |
| Mailing Fax Number | 5809252362 |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2010-10-04 |
| Authorized Official Name | MRS. DENISE SHARP (INTERIM CEO) |
| Authorized Official Telephone | 5809253286 |
| Authorized Official Credential | AR,NP. |
| Is Organization Subpart | Y |
| Parent Organization Name | CENTRAL OKLAHOOMA FAMILY MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100737160D | 05 |
| Other Name | Type Code |
|---|---|
| COFMC Noble | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720290539 | Central Ok Family Med Ctr | Clinic/Center | Rt 1 Box 85a, Prague, OK 74864 | 2007-05-04 |
| 1649485996 | Central Ok Family Med Ctr | Clinic/Center | 527 W 3rd St, Konawa, OK 74849 | 2007-05-11 |
| Street Address |
303 72ND SE |
| City | NOBLE |
| State | OK |
| Zip Code | 73068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508408311 | Marcus Shane Wahl | Registered Nurse | 121morningside Dr., Noble, OK 73068 | 2019-10-14 |
| 1730619180 | Andrea Celia Nicole Arebalo | Homemaker | 7651 180 Th, Noble, OK 73068 | 2017-06-18 |
| 1841729241 | Yoyma Pedroso Lopez | Registered Nurse | 4521 192nd Ave Se, Noble, OK 73068 | 2017-06-08 |
| 1306392543 | Julie Curry | Counselor | 161 Roman Way, Noble, OK 73068 | 2016-08-28 |
| 1245468602 | Zachary D. Moffitt, Dds, Pllc | Dentist | 333 E. Etowah Rd, Noble, OK 73068 | 2009-06-24 |
| 1538311824 | Jessica Kali Dunlap | Physical Therapist | 207 East Elm, Noble, OK 73068 | 2008-10-17 |
| 1386815215 | Cletas Cottage Day Treatment Center | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 220 South 5th St, Noble, OK 73068 | 2008-03-19 |
| 1497959704 | Jared Russell Smith | Dentist | 1009 Parkwoods Dr, Noble, OK 73068 | 2007-06-12 |
| 1437230331 | City of Noble | Ambulance | 117 N 2nd St, Noble, OK 73068 | 2006-10-18 |
| 1891708418 | Just for Therapy Incorporated | Physical Therapist | 207 Elm, Noble, OK 73068 | 2006-08-14 |
| Find all providers in zip 73068 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870742 | Sequelcare of Oklahoma, LLC | Clinic/Center | 6218 S Lewis Ave Ste 118, Tulsa, OK 74136-1018 | 2020-10-28 |
| 1649870890 | M & M Counseling Group, LLC | Clinic/Center | 207 S Czech Hall Rd, Yukon, OK 73099-6851 | 2020-10-27 |
| 1992303721 | Misty Watkins | Clinic/Center | 1601 Sw Parkridge Blvd Ste 200, Lawton, OK 73505-7564 | 2020-10-14 |
| 1295342046 | Integrative Healthcare Solutions LLC | Clinic/Center | 2227 E 8th St, Tulsa, OK 74104-3237 | 2020-09-25 |
| 1235744020 | Strength of A Warrior Counseling Services LLC | Clinic/Center | 4516 Se 25th St, Del City, OK 73115-4114 | 2020-09-09 |
| 1609488253 | Alexie Foster, LLC | Clinic/Center | 16802 S 301st West Ave, Bristow, OK 74010-2265 | 2020-08-17 |
| 1306455068 | Restore Family Counseling, LLC | Clinic/Center | 100 W. Wilshire, Suite #c3, Oklahoma City, OK 73116 | 2020-07-29 |
| 1245855857 | Dragonfly Psychotherapy | Clinic/Center | 2942 Ne Orlie Dr, Forest Park, OK 73121-2436 | 2020-06-09 |
| 1508480872 | Maria Nancy Martinez | Clinic/Center | 5350 S Western Ave Ste 217, Oklahoma City, OK 73109-4525 | 2020-06-03 |
| 1649894015 | Miranda Rackers | Clinic/Center | 1308 E Mckinley Ave, Sapulpa, OK 74066-4824 | 2020-06-02 |
| 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.