NPI | 1346712072 |
---|---|
Doing Business As | COWETA HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | SONYA L SMITH CEO 918-483-0111 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2018-12-19 |
Last Update Date | 2018-12-19 |