Healthcare Provider Details

I. General information

NPI: 1366585564
Provider Name (Legal Business Name): SOUTH CENTRAL MEDICAL AND RESOURCE CENTER INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/15/2007
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

216 S MAIN ST
LINDSAY OK
73052-5634
US

IV. Provider business mailing address

216 S MAIN ST
LINDSAY OK
73052-5634
US

V. Phone/Fax

Practice location:
  • Phone: 405-756-1414
  • Fax:
Mailing address:
  • Phone: 405-756-1414
  • Fax: 405-756-1162

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State

VIII. Authorized Official

Name: FRANCES MARLENE WATTS
Title or Position: CEO
Credential:
Phone: 405-203-6616