CENTRAL OKLAHOMA FAMILY MEDICAL CENTER, INC.
NPI 1508952912
Clinic/Center - Federally Qualified Health Center (FQHC) in Konawa, OK

NPI Status: Active since October 04, 2006

Contact Information

527 W 3RD ST
KONAWA, OK
ZIP 74849
Phone: (580) 925-3286

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  • Organization
  • Clinic/Center
  • Federally Qualified Health Center (FQHC)
  • Accepts Insurance
  • CLIA Number: 37D2270097
  • CLIA Cert. Type: Federally Qualified Health Center
  • CLIA Exp. Date: 10-09-2026

About CENTRAL OKLAHOMA FAMILY MEDICAL CENTER, INC.

This page provides the complete NPI Profile along with additional information for Central Oklahoma Family Medical Center, Inc., a primary care provider established in Konawa, Oklahoma operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1508952912 assigned on October 2006. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Brenda Ware (Ceo)

NPI
1508952912
Provider Name
CENTRAL OKLAHOMA FAMILY MEDICAL CENTER, INC.
Entity Type
Organization
Location Address
527 W 3RD ST KONAWA, OK 74849
Location Phone
(580) 925-3286
Mailing Address
527 W 3RD ST KONAWA, OK 74849
Mailing Phone
(580) 925-3286
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-04-2006
Last Update Date
02-05-2014
Code Navigator

A primary care provider (PCP) like Central Oklahoma Family Medical Center, Inc. sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Federally Qualified Health Center (FQHC)

Taxonomy Code
261QF0400X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Advantage Bronze PPO? 202 - PPO
  • Blue Advantage Bronze PPO? 203 - PPO
  • Blue Advantage Bronze PPO? Standard - PPO
  • Blue Advantage Gold PPO? 309 - PPO
  • Blue Advantage Gold PPO? 604 - PPO
  • Blue Advantage Gold PPO? Standard - PPO
  • Blue Advantage Silver PPO? 204 - PPO
  • Blue Advantage Silver PPO? 501 - PPO
  • Blue Advantage Silver PPO? Standard - PPO
  • Blue Preferred Bronze PPO? Standard - PPO
  • Blue Preferred Gold PPO? Standard - PPO
  • Blue Preferred Security PPO? 200 - PPO
  • Blue Preferred Silver PPO? Standard - PPO
  • MyBlue Bronze HMO? 902 - HMO
  • MyBlue Bronze HMO? 904 - HMO
  • MyBlue Bronze HMO? Standard - HMO
  • MyBlue Gold HMO? 704 - HMO
  • MyBlue Gold HMO? 804 - HMO
  • MyBlue Gold HMO? Standard - HMO
  • MyBlue Silver HMO? 705 - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

BRENDA WARE

Authorized Official Title
CEO
Authorized Official Phone
(580) 925-3286

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
371804MEDICARE OSCAR/CERTIFICATION (06)OK 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
37D2270097
Facility Type
Federally Qualified Health Center
Certificate Effective Date
October 10, 2024
Certificate Expiration Date
October 09, 2026
Laboratory Director
DEBORA D. SHELTON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Central Oklahoma Family Medical Center, Inc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for CENTRAL OKLAHOMA FAMILY MEDICAL CENTER, INC.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1508952912
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2508185492
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 0 + 8 + 1 + 8 + 5 + 4 + 9 + 2 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1508952912 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

TONI FAYE VANDEGRIFT DPH

Pharmacist

527 W 3RD ST
KONAWA, OK
ZIP 74849

(580) 925-8911

JO LYNN LERAY D.PH.

Pharmacist

527 W 3RD ST
KONAWA, OK
ZIP 74849

(580) 925-8911

MRS. WINIFRED WATSON LCSW

Social Worker

(Clinical)

527 W 3RD ST
KONAWA, OK
ZIP 74849

(580) 925-3286

CENTRAL OK FAMILY MED CTR

Clinic/Center

(Mental Health (Including Community Mental Health Center))

527 W 3RD ST
KONAWA, OK
ZIP 74849

(580) 925-3286

MRS. ANJA LEE GRISSOM MED & LPC

Counselor

(Professional)

527 W 3RD ST
KONAWA, OK
ZIP 74849

(580) 925-3286

CENTRAL OKLAHOMA FAMILY MEDICAL CENTER

Residential Treatment Facility, Emotionally Disturbed Children

527 W 3RD ST
KONAWA, OK
ZIP 74849

(580) 925-3286

CENTRAL OKLAHOMA FAMILY MEDICAL CENTER

Case Management

527 W 3RD ST
KONAWA, OK
ZIP 74849

(580) 925-3286

CENTRAL OKLAHOMA FAMILY MEDICAL CENTER

Registered Nurse

527 W 3RD ST
KONAWA, OK
ZIP 74849

(580) 925-3286

CENTRAL OKLAHOMA FAMILY MEDICAL CENTER PHARMACY

Pharmacy

527 W 3RD ST
KONAWA, OK
ZIP 74849

(580) 925-8911

FRANK ATCHLEY

Counselor

(Mental Health)

527 W 3RD ST
KONAWA, OK
ZIP 74849

(580) 925-3286

WILLIAM GREEN

Counselor

(Mental Health)

527 W 3RD ST
KONAWA, OK
ZIP 74849

(580) 925-3286

ROZINA NEWBY

Counselor

(Mental Health)

527 W 3RD ST
KONAWA, OK
ZIP 74849

(580) 925-3286

GLENDA ORTEGA

Counselor

(Mental Health)

527 W 3RD ST
KONAWA, OK
ZIP 74849

(580) 925-3286

ERICA MCCRAW

Counselor

(Mental Health)

527 W 3RD ST
KONAWA, OK
ZIP 74849

(580) 925-3286

KATIE JONES

Counselor

(Mental Health)

527 W 3RD ST
KONAWA, OK
ZIP 74849

(580) 925-3286

MRS. SHARON DENTON BHRS I

Counselor

(Mental Health)

527 W 3RD ST
KONAWA, OK
ZIP 74849

(580) 925-3286

PATTY CARSON BHRS I

Counselor

(Mental Health)

527 W 3RD ST
KONAWA, OK
ZIP 74849

(580) 925-3286

CINDY HORTON RN

Registered Nurse

(Psychiatric/Mental Health, Adult)

527 W 3RD ST
KONAWA, OK
ZIP 74849

(580) 925-3286

LISA ANN TAYLOR L.D.

Dietitian, Registered

527 W 3RD ST
KONAWA, OK
ZIP 74849

(580) 925-3286

FREDDY JONES

Counselor

527 W 3RD ST
KONAWA, OK
ZIP 74849

(580) 925-3286

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508952912, enumerated as an "organization" on October 04, 2006.

The provider is located at 527 W 3RD ST KONAWA, OK 74849 and the phone number is (580) 925-3286.

Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).

The provider might be accepting Accepts: Blue Cross and Blue Shield of Oklahoma, Medicare. Please consult your insurance carrier or call the provider to verify.