NPIMap

Organization Active NPI

Central Ok Family Med Ctr

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Konawa, OK
National Provider Identifier
1649485996
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
527 W 3Rd St
Konawa, OK 74849
Phone
(580) 925-3286
Fax
(580) 925-2362
NPI assigned
May 11, 2007
Last updated
Oct 4, 2010By the provider in NPPES
Organization subpart
No

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, ARNP
Title
Interim Ce.O.
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

527 W 3Rd St
Konawa, OK 74849

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 Konawa Other name

National Provider Directory

National Provider Directory
Tax ID family
Central Oklahoma Family32 organizations share this tax ID, including this one

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": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286150400000",
    "number": "1649485996",
    "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": "527 W 3RD ST",
            "city": "KONAWA",
            "state": "OK",
            "postal_code": "74849",
            "telephone_number": "580-925-3286",
            "fax_number": "580-925-2362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL OK FAMILY MED CTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2010-10-04",
        "status": "A",
        "authorized_official_last_name": "SHARP",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "INTERIM CE.O.",
        "authorized_official_telephone_number": "580-925-3286",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ARNP"
    },
    "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 Konawa",
            "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.