EAST CENTRAL OKLAHOMA FAMILY HEALTH CENTER, INC. (NPI# 1881943389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881943389 |
| Entity Type | Organization |
| Organization Name | EAST CENTRAL OKLAHOMA FAMILY HEALTH CENTER, INC. |
| Practice Address |
104 E Shurden Industrial Blvd Henryetta OK 74437-7323 |
| Mailing Address |
Po Box 236 Wetumka OK 74883-0236 |
| Practice Telephone | 9186529614 |
| Practice Fax Number | 9186524831 |
| Mailing Telephone | 4054523151 |
| Mailing Fax Number | 4054523310 |
| Enumeration Date | 2012-08-30 |
| Last Update Date | 2019-02-26 |
| Authorized Official Name | DONNA DYER (CEO) |
| Authorized Official Telephone | 4054523151 |
| Is Organization Subpart | Y |
| Parent Organization Name | EAST CENTRAL OKLAHOMA FAMILY HEALTH CENTER, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | MEDICARE CCN | 371886 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093184145 | East Central Oklahoma Family Health Center, Inc. | Clinic/Center | 121 N. Mekusukey Avenue, Wewoka, OK 74884 | 2015-09-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | EAST CENTRAL OKLAHOMA FAMILY HEALTH CENTER, INC. | 109 S Main, Wetumka, OK 74883 |
| Street Address |
104 E SHURDEN INDUSTRIAL BLVD |
| City | HENRYETTA |
| State | OK |
| Zip Code | 74437-7323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144771700 | Rebecca Kaye Haynes | Nurse Practitioner | 104 E Shurden Industrial Blvd, Henryetta, OK 74437-7323 | 2016-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487272456 | Rachel J Collins | Counselor | 1102 W 7th, Henryetta, OK 74437 | 2020-07-07 |
| 1295232478 | Ahs Henryetta Hospital LLC | Clinic/Center | 2405 W Main St Ste A, Henryetta, OK 74437 | 2018-04-12 |
| 1083124952 | Kelli Stansifer | Counselor | 810 S 4th, Henryetta, OK 74437 | 2017-10-05 |
| 1215277322 | Brenda J Leftwich | Counselor | 501 West Broadway, Henryetta, OK 74437 | 2013-02-26 |
| 1528372018 | Quennie Sue Bessinger | Counselor | 504 West Broadway, Henryetta, OK 74437 | 2010-07-27 |
| 1518155472 | Bio-medical Applications of Oklahoma, Inc. | Clinic/Center | 2405 West Main Street, Ste A, Henryetta, OK 74437 | 2007-10-04 |
| 1538373238 | Brenda Druecilla Britt | Technician | 27165 Maiden Lane, Henryetta, OK 74437 | 2007-05-10 |
| 1457572919 | Sharon Marie Williams | Physical Therapy Assistant | 1924 W. Mani St., Henryetta, OK 74437 | 2007-05-01 |
| 1710041009 | Ahs Oklahoma Physician Group, LLC | Nurse Practitioner | 2401 West Main, Henryetta, OK 74437 | 2006-12-20 |
| 1497824742 | Ahs Henryetta Hospital LLC | Psychiatric Unit | Dewey, Bartlett & Main, Henryetta, OK 74437 | 2006-11-08 |
| Find all providers in zip 74437 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639636657 | East Central Oklahoma Family Health Center Behavioral Health Services | Clinic/Center | 1102 W Main St, Henryetta, OK 74437-4232 | 2019-02-26 |
| 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 |
| 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.