OrganizationActive
Family Care Clinic Inc
NPI 1629507918 · General Practice Physician · Sallisaw, OK
Provider details
- NPI number
- 1629507918
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mark Rogow, Physician(918) 776-0050
- License
- 27009 (OK)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1506 W Chickasaw Ave
Sallisaw, OK 74955-7200
Phone: (918) 776-0050
Fax: (918) 776-0065
Approximate (ZIP-level) locationGet directions
Mailing address
1506 W Chickasaw Ave
Sallisaw, OK 74955-7200
Registry dates
- Enumerated
- 2017-06-08
- Last updated
- 2022-07-21
- Certified
- 2020-09-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.