Provider Demographics
NPI:1447587787
Name:SOUTHEASTERN OKLAHOMA FAMILY SERVICES, INC.
Entity Type:Organization
Organization Name:SOUTHEASTERN OKLAHOMA FAMILY SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:VIRGINIA
Authorized Official - Middle Name:
Authorized Official - Last Name:RAGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:580-371-3672
Mailing Address - Street 1:39 EAST FOLEY AVE
Mailing Address - Street 2:
Mailing Address - City:EUFUALA
Mailing Address - State:OK
Mailing Address - Zip Code:74432-2805
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:39 EAST FOLEY AVE
Practice Address - Street 2:
Practice Address - City:EUFUALA
Practice Address - State:OK
Practice Address - Zip Code:74432-2805
Practice Address - Country:US
Practice Address - Phone:580-371-3672
Practice Address - Fax:580-371-3651
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-06
Last Update Date:2009-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health