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FAMILY HEALTH CENTER OF SOUTHERN OKLAHOMA INC
NPI 1174830665
Clinic/Center - Federally Qualified Health Center (FQHC) in Coalgate, OK

Active since September 07, 2010CLIA Certified · 2 labs
107 E POST AVE, COALGATE, OK 74538(580) 927-2828(580) 258-3000 Get Directions Write a Review

NPPES record last updated: August 21, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Family Health Center Of Southern Oklahoma Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAMILY HEALTH CENTER OF SOUTHERN OKLAHOMA INC (NPI 1174830665) is a healthcare organization registered as a federally qualified health center (fqhc) in Coalgate, Oklahoma and active in the NPI registry since September 2010. The organization holds 2 active CLIA laboratory certificates and lists Ashley Wells, Credentialing Officer, as its authorized official.

NPPES Registry Identity

NPI1174830665
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameFAMILY HEALTH CENTER OF SOUTHERN OKLAHOMA INC
Location Address107 E POST AVECoalgate, OK 74538-3004
Mailing Address610 E 24th StTishomingo, OK 73460-3245 · (580) 371-2343 · Fax (580) 371-3614
Phone(580) 927-2828
Fax(580) 258-3000
Organization SubpartYes
Authorized OfficialAshley WellsCredentialing Officer · (580) 387-0509
Enumeration DateSeptember 7, 2010
Last NPPES UpdateAugust 21, 2024
NPPES CertifiedAugust 21, 2024
✔ NPI 1174830665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
107 E POST AVE, Coalgate, OK 74538
Open in Google Maps ↗

Other Identifiers 1

Medicaid200322700AOK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Family Health Center Of Southern Oklahoma Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

28

Medicare enrollment records show 28 clinicians reassign Medicare billing to Family Health Center Of Southern Oklahoma Inc, which bills Medicare for the services they deliver. Of these, 2 practice at this address. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 6

Nurse Practitioner15
Mental Health Counselor5
Family Practice3
Clinical Social Worker2
Internal Medicine2
Obstetrics/Gynecology1

Nearest to this location (20)

See all 28
Carol Black, APRN-CNP
Nurse Practitioner
NPI 1013427129
107 E POST AVE
Coalgate, OK 74538
(580) 927-2828
✔ PECOS✔ Accepts MedicareSame address
Joy Gibson, LPC
Mental Health Counselor
NPI 1275036766
107 E POST AVE
Coalgate, OK 74538
(580) 927-2828
✔ PECOS✔ Accepts MedicareSame address
Glee Christ, APRN
Nurse Practitioner
NPI 1851494934
1668 W LIBERTY RD
Atoka, OK 74525
(580) 889-3355
✔ PECOS✔ Accepts Medicare11 mi
Amreigh Daniel, APRN-CNP
Nurse Practitioner
NPI 1225896053
457 S MISSISSIPPI AVE
Atoka, OK 74525
(580) 889-4746
✔ PECOS✔ Accepts Medicare11 mi
Joseph Hutchings, APRN-CNP
Nurse Practitioner
NPI 1326559683
457 S MISSISSIPPI AVE
Atoka, OK 74525
(580) 889-4746
✔ PECOS✔ Accepts Medicare11 mi
Tina Russell, LPC
Mental Health Counselor
NPI 1942510573
457 S MISSISSIPPI AVE
Atoka, OK 74525
(580) 889-4746
✔ PECOS✔ Accepts Medicare11 mi
Angelena Frost, CNP
Nurse Practitioner
NPI 1639450448
457 S MISSISSIPPI AVE
Atoka, OK 74525
(580) 889-4748
✔ PECOS✔ Accepts Medicare11 mi
John Siegle, MD
Obstetrics/Gynecology
NPI 1710073044
807 N MONTE VISTA ST
Ada, OK 74820
(580) 332-8855
✔ PECOS✔ Accepts Medicare29 mi
Katrisha Toney, APRN-CNP
Nurse Practitioner
NPI 1760188254
880 E MAIN ST
Tishomingo, OK 73460
(580) 742-7091
✔ PECOS✔ Accepts Medicare33 mi
Robert Bishop, MD
Family Practice
NPI 1306885116
610 E 24TH ST
Tishomingo, OK 73460
(580) 371-2343
✔ PECOS✔ Accepts Medicare33 mi
Melissa Blackburn, LPC
Mental Health Counselor
NPI 1376817031
610 E 24TH ST
Tishomingo, OK 73460
(580) 371-2343
✔ PECOS✔ Accepts Medicare33 mi
Darci Bowen, APRN-CNP
Nurse Practitioner
NPI 1053824359
610 E 24TH ST
Tishomingo, OK 73460
(580) 371-2343
✔ PECOS✔ Accepts Medicare33 mi
Tasha Cummins, APRN-CNP
Nurse Practitioner
NPI 1386279024
610 E 24TH ST
Tishomingo, OK 73460
(580) 371-2343
✔ PECOS✔ Accepts Medicare33 mi
Wilson Davis, MD
Internal Medicine
NPI 1184633521
610 E 24TH ST
Tishomingo, OK 73460
(580) 371-2343
✔ PECOS33 mi
Stephanie Jones, DO
Family Practice
NPI 1366069841
610 E 24TH ST
Tishomingo, OK 73460
(580) 371-2343
✔ PECOS✔ Accepts Medicare33 mi
Paul Reel, DO
Family Practice
NPI 1871536862
610 E 24TH ST
Tishomingo, OK 73460
(580) 371-2343
✔ PECOS✔ Accepts Medicare33 mi
Ashley Rogers, LCSW
Clinical Social Worker
NPI 1679842421
610 E 24TH ST
Tishomingo, OK 73460
(580) 371-2343
✔ PECOS✔ Accepts Medicare33 mi
Terry Truett, LPC
Mental Health Counselor
NPI 1376134742
610 E 24TH ST
Tishomingo, OK 73460
(580) 371-2343
✔ PECOS✔ Accepts Medicare33 mi
Craig Couvillon, MD
Internal Medicine
NPI 1235399403
21 N MAIN ST
Kingston, OK 73439
(580) 564-7885
✔ PECOS✔ Accepts Medicare46 mi
Devon Gilbert, LCSW
Clinical Social Worker
NPI 1811612443
21 N MAIN ST
Kingston, OK 73439
(580) 564-7885
✔ PECOS✔ Accepts Medicare46 mi
See all 28 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 37D0471996

Family Health Center Of Southern Oklahoma, Inc · Tishomingo, OK
Active · expires Jul 16, 2027
CLIA Number37D0471996
Laboratory TypePhysician Office
Certificate Effective DateJuly 17, 2025
Certificate Expiration DateJuly 16, 2027
Laboratory DirectorPaul Reel
Laboratory Phone(580) 371-2343
Laboratory LocationFamily Health Center Of Southern Oklahoma, Inc610 E 24th, Tishomingo, OK 73460
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 37D2015180

Family Health Center Of Southern Oklahoma, Inc · Coalgate, OK
Active · expires Oct 21, 2028
CLIA Number37D2015180
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateOctober 22, 2026
Certificate Expiration DateOctober 21, 2028
Laboratory DirectorPaul A. Reel
Laboratory Phone(580) 927-2828
Laboratory LocationFamily Health Center Of Southern Oklahoma, Inc107 E Post St, Coalgate, OK 74538
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Family Health Center Of Southern Oklahoma Inc's NPI number?

The NPI number for Family Health Center Of Southern Oklahoma Inc is 1174830665. It was assigned to this organization in the NPPES registry on September 7, 2010.

Where is Family Health Center Of Southern Oklahoma Inc located?

Family Health Center Of Southern Oklahoma Inc is located at 107 E Post Ave, Coalgate, OK 74538. The listed phone number is (580) 927-2828.

What is Family Health Center Of Southern Oklahoma Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Family Health Center Of Southern Oklahoma Inc enrolled in Medicare?

Yes. Family Health Center Of Southern Oklahoma Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Family Health Center Of Southern Oklahoma Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 28 clinicians in 6 Medicare specialties reassign their Medicare billing to Family Health Center Of Southern Oklahoma Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (15), Mental Health Counselor (5) and Family Practice (3). Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Family Health Center Of Southern Oklahoma Inc hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Family Health Center Of Southern Oklahoma Inc accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Family Health Center Of Southern Oklahoma Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Family Health Center Of Southern Oklahoma Inc was last updated on August 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.