institution
Family Health Center Of Southern Oklahoma Inc
Federally Qualified Health Center (FQHC) in Tishomingo, Oklahoma
NPI 1598803942

Family Health Center Of Southern Oklahoma Inc is a Federally Qualified Health Center (FQHC) based in Tishomingo, OK and is specialized in Federally Qualified Health Center (FQHC). Family Health Center Of Southern Oklahoma Inc practices in Tishomingo, OK. The NPI Number for Family Health Center Of Southern Oklahoma Inc is 1598803942 and holds a License No. (Oklahoma).

The current practice location address for Family Health Center Of Southern Oklahoma Inc is 610 E 24Th St, Tishomingo, OK and can be reached out via phone at 580-371-2343 and via fax at 580-371-3614.

Location: 610 E 24Th St, Tishomingo, OK, 73460-3245
institution
Provider Profile Details
NPI Number
1598803942
Provider Name
Family Health Center Of Southern Oklahoma Inc
Credential
Provider Entity Type
Organization
Address
610 E 24Th St, Tishomingo, OK, 73460-3245
Phone Number
580-371-2343
Fax Number
580-371-3614
Provider Enumeration Date
02/01/2007
Last Update Date
09/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200018910C 05 OK
institution
Provider Business Practice Location Address Details
Address
610 E 24Th St
City
State
Zip
73460-3245
Phone Number
580-371-2343
Fax Number
580-371-3614
person
Provider Business Mailing Address Details
Address
610 E 24Th St
City
State
Zip
73460-3245
Phone Number
580-371-2343
Fax Number
580-371-3614
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
(Oklahoma)
Definition
Definition to come...
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