FAMILY HEALTH CENTER OF SOUTHERN OKLAHOMA INC
NPI 1982267910
Clinic/Center - Federally Qualified Health Center (FQHC) in Kingston, OK

Active since April 16, 2019CLIA 37D2169578 · Waiver
21 N MAIN ST, KINGSTON, OK 73439(580) 564-7885(580) 564-7902 Get Directions Write a Review

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

Record update history: Aug 21, 2024, Apr 16, 2019 (2 updates tracked since 2019).

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 1982267910) is a healthcare organization registered as a federally qualified health center (fqhc) in Kingston, Oklahoma and active in the NPI registry since April 2019. The organization holds a CLIA Waiver certificate valid through July 22, 2027 and lists Ashley Wells, Credentialing Officer, as its authorized official.

NPPES Registry Identity

NPI1982267910
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameFAMILY HEALTH CENTER OF SOUTHERN OKLAHOMA INC
Location Address21 N MAIN STKingston, OK 73439-6562
Mailing Address610 E 24th StTishomingo, OK 73460-3245 · (580) 371-2343 · Fax (580) 371-3614
Fax(580) 564-7902
Organization SubpartYes
Authorized OfficialAshley WellsCredentialing Officer · (580) 387-0509
Enumeration DateApril 16, 2019
Last NPPES UpdateAugust 21, 20242 updates tracked since enumeration
NPPES CertifiedAugust 21, 2024
✔ NPI 1982267910 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
21 N MAIN ST, Kingston, OK 73439

Other Identifiers 1

Medicaid200018910GOK

Accepted 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, 4 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
Mental Health Counselor
NPI 1922207570
21 N MAIN ST
Kingston, OK 73439
(580) 564-7885
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1235399403
21 N MAIN ST
Kingston, OK 73439
(580) 564-7885
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1649412263
21 N MAIN ST
Kingston, OK 73439
(580) 564-7885
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1811612443
21 N MAIN ST
Kingston, OK 73439
(580) 564-7885
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1376817031
610 E 24TH ST
Tishomingo, OK 73460
(580) 371-2343
✔ PECOS✔ Accepts Medicare16 mi
Nurse Practitioner
NPI 1053824359
610 E 24TH ST
Tishomingo, OK 73460
(580) 371-2343
✔ PECOS✔ Accepts Medicare16 mi
Nurse Practitioner
NPI 1386279024
610 E 24TH ST
Tishomingo, OK 73460
(580) 371-2343
✔ PECOS✔ Accepts Medicare16 mi
Internal Medicine
NPI 1184633521
610 E 24TH ST
Tishomingo, OK 73460
(580) 371-2343
✔ PECOS16 mi
Nurse Practitioner
NPI 1962188714
610 E 24TH ST
Tishomingo, OK 73460
(580) 371-2343
✔ PECOS✔ Accepts Medicare16 mi
Nurse Practitioner
NPI 1962392100
610 E 24TH ST
Tishomingo, OK 73460
(580) 387-0509
✔ PECOS✔ Accepts Medicare16 mi
Family Practice
NPI 1366069841
610 E 24TH ST
Tishomingo, OK 73460
(580) 371-2343
✔ PECOS✔ Accepts Medicare16 mi
Nurse Practitioner
NPI 1609726033
610 E 24TH ST
Tishomingo, OK 73460
(580) 371-2343
✔ PECOS✔ Accepts Medicare16 mi
Family Practice
NPI 1871536862
610 E 24TH ST
Tishomingo, OK 73460
(580) 371-2343
✔ PECOS✔ Accepts Medicare16 mi
Nurse Practitioner
NPI 1619545795
610 E 24TH ST
Tishomingo, OK 73460
(580) 371-2343
✔ PECOS✔ Accepts Medicare16 mi
Clinical Social Worker
NPI 1679842421
610 E 24TH ST
Tishomingo, OK 73460
(580) 371-2343
✔ PECOS✔ Accepts Medicare16 mi
Nurse Practitioner
NPI 1841175429
610 E 24TH ST
Tishomingo, OK 73460
(580) 371-2343
✔ PECOS✔ Accepts Medicare16 mi
Mental Health Counselor
NPI 1376134742
610 E 24TH ST
Tishomingo, OK 73460
(580) 371-2343
✔ PECOS✔ Accepts Medicare16 mi
Nurse Practitioner
NPI 1891050951
610 E 24TH ST
Tishomingo, OK 73460
(580) 371-2343
✔ PECOS✔ Accepts Medicare16 mi
Family Practice
NPI 1306885116
610 E 24TH ST
Tishomingo, OK 73460
(580) 371-2343
✔ PECOS✔ Accepts Medicare16 mi
Nurse Practitioner
NPI 1760188254
880 E MAIN ST
Tishomingo, OK 73460
(580) 742-7091
✔ PECOS✔ Accepts Medicare16 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

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 Waiver 37D2169578

Family Health Center Of Southern Ok · Kingston, OK
Active · expires Jul 22, 2027
CLIA Number37D2169578
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJuly 23, 2025
Certificate Expiration DateJuly 22, 2027
Laboratory DirectorPaul A. Reel
Laboratory Phone(580) 564-7885
Laboratory LocationFamily Health Center Of Southern Ok21 N Main, Kingston, OK 73439
CLIA data matches this NPI record on: Address 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 1982267910. It was assigned to this organization in the NPPES registry on April 16, 2019.

Where is Family Health Center Of Southern Oklahoma Inc located?

Family Health Center Of Southern Oklahoma Inc is located at 21 N Main St, Kingston, OK 73439. The listed phone number is (580) 564-7885.

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, 4 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 a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D2169578) is associated with this NPI, valid through July 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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.