OrganizationActive
Central Oklahoma Family Medical Center
NPI 1306973094 · Federally Qualified Health Center (FQHC) · Konawa, OK
Provider details
- NPI number
- 1306973094
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kasey Brundidge, Pa-C(580) 925-3266
- License
- 1618 (OK)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
527 W 3rd St
Konawa, OK 74849-1415
Phone: (580) 925-3266
Fax: (580) 925-9149
Approximate (ZIP-level) locationGet directions
Mailing address
527 W 3rd St
Konawa, OK 74849-1415
Registry dates
- Enumerated
- 2007-02-28
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.