NPIMap

Organization Active NPI

East Central Oklahoma Family Health Center, Inc.

Doing business as ECO Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Wewoka, OK
National Provider Identifier
1093184145
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
EAST CENTRAL OKLAHOMA FAMILY HEALTH CENTER, INC.
Doing business as
ECO Family Health Center
Practice address
207 W 1St St
Wewoka, OK 74884-2103
Phone
(052) 575-4224
Fax
(405) 257-5463
NPI assigned
Sep 18, 2015
Last updated
Jul 17, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
EAST CENTRAL OKLAHOMA FAMILY HEALTH CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Donna Sue Dyer, MSHR
Title
Ceo
Phone
(405) 452-3151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

207 W 1St St
Wewoka, OK 74884-2103

Mailing address

P.O. Box 236
Wetumka, OK 74883-0236
Phone (405) 452-3151

Other names 1

  • ECO Family Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090330000363 OK Part B Supplier - Clinic/Group Practice 3779643994 Receives reassigned benefits from 11 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Henryetta, OK; Wetumka, OK; Wewoka, OK
O20160128002010 OK Part A Provider - Federally Qualified Health Center (FQHC) 3779643994 Practice locations: Wewoka, OK

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1093184145. Details of each certification follow.

Federally qualified health center certification: CCN 371911

Legal name
EAST CENTRAL OKLAHOMA FAMILY HEALTH CENTER, INC.
Doing business as
EAST CENTRAL OKLAHOMA FAMILY HEALTH CENTER, INC. - WEWOKA
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jan 21, 2016
Last certification
Jan 21, 2016
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Apr 22, 2003 in OK
Enrollment address
207 West 1St Street
Wewoka, OK 74884-2103

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D2102430East Central Oklahoma Family Health Center Inc207 W 1St Street, Wewoka, OK 74884Certificate of waiverSep 21, 2027

National Provider Directory

National Provider Directory
Part of
E CTRL Ok Fam HLTH Ctr Inc

Locations

104 E Shurden Industrial Blvd
Henryetta, OK 74437
Phone (918) 652-9614

Ownership & related parties

All disclosed owners & managing parties 18

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Carrie Wyatt Individual Corporate Director Aug 25, 2014
Tony Fish Individual Corporate OfficerBoard Member-Chairman Feb 7, 2023
Corporate Director Mar 9, 2009
Robert Wade Walling Individual Corporate Director Aug 19, 2013
Susan Tyra Individual Corporate DirectorSecretary Mar 9, 2009
Henrietta Hicks Individual Corporate Director Mar 25, 2013
Kimberly Meeks Individual Corporate OfficerBoard Member-Secretary Feb 7, 2023
Corporate DirectorTreasurur Mar 9, 2009
Brent McGee Individual Corporate OfficerBoard Member-Vice Chairman Feb 7, 2023
Corporate Director Mar 9, 2009
Vernon Stout Individual Corporate OfficerBoard Member-Treasurer Feb 7, 2023
Corporate DirectorChairman Mar 9, 2009
Daniel Ingle Individual Corporate DirectorBoard Member Feb 7, 2023
Michelle Madden Individual Corporate Director Sep 9, 2015
East Central Oklahoma Family Health Center, Inc. Organization, Wetumka, OK Corporation, Non-profit Operational/Managerial Control Nov 16, 2015
Michael Lindley Individual Corporate DirectorBoard Member Feb 7, 2023
Debra Kardokus Individual Corporate DirectorBoard Member Feb 7, 2023
Darin Hebert Individual Corporate DirectorBoard Member Feb 7, 2023
Gisela Williams Individual Corporate DirectorBoard Member Feb 7, 2023
Donna Dyer Individual Corporate OfficerCeo Oct 13, 2008
W-2 Managing EmployeeCeo Oct 13, 2008
Operational/Managerial ControlCeo Feb 7, 2023
Felisha Ring Individual W-2 Managing EmployeeAdministrative Assistant/Human R Feb 7, 2023
Vic Woods Individual Corporate DirectorBoard Member Feb 7, 2023

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
East Central Oklahoma Family Health Center, Inc.Henryetta, OK, CCN 371886 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2012

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1442534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752710400000",
    "number": "1093184145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 236",
            "city": "WETUMKA",
            "state": "OK",
            "postal_code": "748830236",
            "telephone_number": "405-452-3151",
            "fax_number": "405-452-3310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 W 1ST ST",
            "city": "WEWOKA",
            "state": "OK",
            "postal_code": "748842103",
            "telephone_number": "052-575-4224",
            "fax_number": "405-257-5463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST CENTRAL OKLAHOMA FAMILY HEALTH CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EAST CENTRAL OKLAHOMA FAMILY HEALTH CENTER, INC.",
        "enumeration_date": "2015-09-18",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A",
        "authorized_official_last_name": "DYER",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "405-452-3151",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSHR"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ECO Family Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ECO Family Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wewoka, OK

Sources for this page

Verify at the official NPI Registry.