OrganizationActive
Family Health Center of Southern Oklahoma Inc
NPI 1174830665 · Federally Qualified Health Center (FQHC) · Coalgate, OK
Provider details
- NPI number
- 1174830665
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Parent organization
- Family Health Center of Southern Oklahoma Inc
- Organization subpart
- Yes
- Authorized official
- Ashley Wells, Credentialing Officer(580) 387-0509
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
107 E Post Ave
Coalgate, OK 74538-3004
Phone: (580) 927-2828
Fax: (580) 258-3000
Approximate (ZIP-level) locationGet directions
Mailing address
610 E 24th St
Tishomingo, OK 73460-3245
Registry dates
- Enumerated
- 2010-09-07
- Last updated
- 2024-08-21
- Certified
- 2024-08-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.