NPIMap

Organization Active NPI

Central Oklahoma Family Medical Center

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Konawa, OK
National Provider Identifier
1215196340
Registry record updated Oct 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
CENTRAL OKLAHOMA FAMILY MEDICAL CENTER
Practice address
527 W 3Rd St
Konawa, OK 74849-1415
Phone
(580) 925-3286
NPI assigned
Jun 4, 2008
Organization subpart
Yes
Parent organization
CENTRAL OKLAHOMA FAMILY MEDICAL CENTERAs reported in NPPES

Authorized official

NPPES NPI Registry
Name
Mrs. Denise Sharp, ARN.P.
Title
Interim Ceo
Phone
(580) 925-3286

National Provider Directory

National Provider Directory
Tax ID family
Central Ok Family Med Ctr31 organizations share this tax ID, including this one
Part of
Central Ok Family Med Ctr

Other organizations with this tax ID 30

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

View all 30

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

527 W 3Rd St
Konawa, OK 74849-1415

Mailing address

527 W 3Rd St
Konawa, OK 74849-1415
Phone (580) 925-3286

Other names 1

NPPES NPI Registry
  • Paden Day Treatment Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 4, 2010.

{
    "created_epoch": "1212537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286150400000",
    "number": "1215196340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 W 3RD ST",
            "city": "KONAWA",
            "state": "OK",
            "postal_code": "748491415",
            "telephone_number": "580-925-3286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 W 3RD ST",
            "city": "KONAWA",
            "state": "OK",
            "postal_code": "748491415",
            "telephone_number": "580-925-3286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL OKLAHOMA FAMILY MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTRAL OKLAHOMA FAMILY MEDICAL CENTER",
        "enumeration_date": "2008-06-04",
        "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": "ARN.P."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paden Day Treatment",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Konawa, 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.