NPIMap

Organization Active NPI

Central Ok Family Med Ctr

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Noble, OK
National Provider Identifier
1194937904
Registry record updated Oct 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
CENTRAL OK FAMILY MED CTR
Practice address
303 72ND SE
Noble, OK 73068
Phone
(405) 872-1270
Fax
(405) 872-1269
NPI assigned
May 4, 2007
Last updated
Oct 4, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
CENTRAL OKLAHOOMA FAMILY MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 4, 2010

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

Authorized official

Name
Mrs. Denise Sharp, AR,NP.
Title
Interim Ceo
Phone
(580) 925-3286

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

303 72ND SE
Noble, OK 73068

Mailing address

PO Box 358
527 W 3Rd St
Konawa, OK 74849
Phone (580) 925-3286

Other identifiers 1

IdentifierTypeStateIssuer
100737160DMedicaidOK

Other names 1

  • COFMC Noble Other name

National Provider Directory

National Provider Directory
Tax ID family
Cletas Cottage Day Treatment Center31 organizations share this tax ID, including this one
Part of
Cletas Cottage Day Treatment Center

Other organizations with this tax ID 30

Organizations that report the same tax identification number in the National Provider Directory.

View all 30

Locations

303 S 72nd St
Noble, OK 73068
Phone (405) 872-1270

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286150400000",
    "number": "1194937904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 358",
            "address_2": "527 W 3RD ST",
            "city": "KONAWA",
            "state": "OK",
            "postal_code": "74849",
            "telephone_number": "580-925-3286",
            "fax_number": "580-925-2362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 72ND SE",
            "city": "NOBLE",
            "state": "OK",
            "postal_code": "73068",
            "telephone_number": "405-872-1270",
            "fax_number": "405-872-1269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL OK FAMILY MED CTR",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTRAL OKLAHOOMA FAMILY MEDICAL CENTER",
        "enumeration_date": "2007-05-04",
        "last_updated": "2010-10-04",
        "status": "A",
        "authorized_official_last_name": "SHARP",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "INTERIM CEO",
        "authorized_official_telephone_number": "580-925-3286",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "AR,NP."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100737160D",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COFMC Noble",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Noble, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.