NPIMap

Family Health Center of Southern Oklahoma Inc

A Medicare group practice based in Tishomingo, OK: 5 NPIs enrolled under one PECOS associate control ID (PAC ID 4284537457), with 35 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
4284537457The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
Enrolled in
OK
Enrollments
5
Group size
34 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
9In 5 places

Enrollment records 5

Enrollment IDStateProvider typeNPI
O20040127001108 OK Part B Supplier - Clinic/Group Practice 1598803942
O20040529000072 OK Part A Provider - Federally Qualified Health Center (FQHC) 1598803942
O20140731000315 OK Part A Provider - Federally Qualified Health Center (FQHC) 1659797314
O20191101000097 OK Part A Provider - Federally Qualified Health Center (FQHC) 1982267910
O20101101001563 OK Part A Provider - Federally Qualified Health Center (FQHC) 1174830665

NPIs in this group 5

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 35

Clinicians who reassign their Medicare benefits to this group (32) or whom Care Compare lists as members (34).

Sources for this page