OrganizationActive
Family Health Center of Southern Oklahoma Inc
NPI 1982267910 · Federally Qualified Health Center (FQHC) · Kingston, OK
Provider details
- NPI number
- 1982267910
- 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
21 N Main St
Kingston, OK 73439-6562
Phone: (580) 564-7885
Fax: (580) 564-7902
Approximate (ZIP-level) locationGet directions
Mailing address
610 E 24th St
Tishomingo, OK 73460-3245
Registry dates
- Enumerated
- 2019-04-16
- 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.