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
Last updated
Oct 4, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
CENTRAL OKLAHOMA 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, ARN.P.
Title
Interim Ceo
Phone
(580) 925-3286

Specialties & licenses 1

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

Addresses

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

  • Paden Day Treatment Other name

National Provider Directory

National Provider Directory
Tax ID family
Cletas Cottage Day Treatment Center32 organizations share this tax ID, including this one
Part of
Cletas Cottage Day Treatment Center

Other organizations with this tax ID 31

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

View all 31

NPI Registry JSON

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

{
    "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.