Provider Demographics
NPI:1174490437
Name:NORTHERN OKLAHOMA FAMILY CARE
Entity type:Organization
Organization Name:NORTHERN OKLAHOMA FAMILY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CASEY
Authorized Official - Middle Name:
Authorized Official - Last Name:HOEMANN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:580-557-0069
Mailing Address - Street 1:PO BOX 8
Mailing Address - Street 2:SUITE 101
Mailing Address - City:TONKAWA
Mailing Address - State:OK
Mailing Address - Zip Code:74653-0008
Mailing Address - Country:US
Mailing Address - Phone:580-557-0069
Mailing Address - Fax:580-557-0089
Practice Address - Street 1:16603 W SOUTH AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:TONKAWA
Practice Address - State:OK
Practice Address - Zip Code:74653
Practice Address - Country:US
Practice Address - Phone:580-557-0069
Practice Address - Fax:580-557-0089
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NORTHERN OKLAHOMA URGENT CARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-10-21
Last Update Date:2025-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care