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General NPI Number Information
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NPI Number | 1366585564
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Entity Type | Organization
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Legal Business Name | SOUTH CENTRAL MEDICAL AND RESOURCE CENTER INC.
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Dates
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Enumeration Date | 02/15/2007
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Last Update Date | 12/16/2025
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Provider Practice Location Address
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Address Line | 216 S MAIN ST
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City | LINDSAY
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State | OK
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Zip | 73052-5634
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Country | US
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Telephone | 405-756-1414
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Fax |
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Provider Business Mailing Address
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Address Line | 216 S MAIN ST
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City | LINDSAY
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State | OK
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Zip | 73052-5634
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Country | US
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Telephone | 405-756-1414
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Fax | 405-756-1162
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Authorized Official
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Title or Position | CEO
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Name | FRANCES MARLENE WATTS
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Credential |
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Telephone | 405-203-6616
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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