COMMUNITY HEALTH CENTER OF NORTHEAST OKLAHOMA (NPI# 1164941670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164941670 |
| Entity Type | Organization |
| Organization Name | COMMUNITY HEALTH CENTER OF NORTHEAST OKLAHOMA |
| Other Organization Name | ROUTE 66 HEALTH CLINIC |
| Practice Address |
343 S. Commercial Street Welch OK 74369 |
| Mailing Address |
Po Box 705 Afton OK 74331-0705 |
| Practice Telephone | 9182578029 |
| Practice Fax Number | 9182578042 |
| Mailing Telephone | 9182578029 |
| Mailing Fax Number | 9182578042 |
| Enumeration Date | 2017-09-15 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | MR. PATRICK MICHAEL PEER (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 9182578029 |
| Authorized Official Credential | MHA |
| Is Organization Subpart | Y |
| Parent Organization Name | H80CS26585 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200539480A | 05 |
| Other Name | Type Code |
|---|---|
| Route 66 Health Clinic | Doing Business As Name - Organization |
| Welch Community Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265902589 | Community Health Center of Northeast Oklahoma | Clinic/Center | 244 S Scraper Suite D, Vinita, OK 74301-3716 | 2018-11-29 |
| 1700332517 | Community Health Center of Northeast Oklahoma | Clinic/Center | 10405 Us Highway 59 N, Grove, OK 74344-4502 | 2016-08-31 |
| Street Address |
343 S. COMMERCIAL STREET |
| City | WELCH |
| State | OK |
| Zip Code | 74369 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912456690 | Saint Francis Hospital Vinita, Inc | General Acute Care Hospital | 343 South Commercial Street, Welch, OK 74369 | 2016-09-23 |
| 1497057699 | Craig County Hospital Authority | General Acute Care Hospital | 343 S. Commercial St., Welch, OK 74369-0000 | 2010-11-22 |
| 1083779052 | Billy Royce Evans | Physician Assistant | 343 South Commercial Street, Welch, OK 74369-0000 | 2006-12-27 |
| 1326328766 | Aaron Dael Mallard | Case Manager/Care Coordinator | 541 S Washington St, Welch, OK 74369-9549 | 2011-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457952814 | Maura Smith | Technician | 82 Little Egypt Rd, Welch, WV 24801-2922 | 2020-11-03 |
| 1144821687 | Amy Marie Dotson | Technician | 124973 Loop Seven Highway, Welch, WV 24801 | 2020-11-02 |
| 1386243947 | Lora Bailey | Technician | Riverside Dr, Welch, WV 24801 | 2020-10-23 |
| 1245839141 | Betty Ann Sprouse | Technician | 160 Grandview St, Welch, WV 24801-2110 | 2020-10-21 |
| 1215543038 | Tymeisha Saunders | Technician | 47 Riverside Dr Apt 14, Welch, WV 24801-2538 | 2020-09-17 |
| 1174138515 | Amy Lee West | Nurse Practitioner | 454 Mcdowell St Ste B, Welch, WV 24801-2029 | 2020-09-12 |
| 1568075356 | James Kuhaulua | Massage Therapist | 10 Old Deerfield Rd, Welch, MN 55089-9515 | 2020-08-31 |
| 1053924142 | Brittany Rotenberry | Technician | 173 Virginia Ave, Welch, WV 24801-2436 | 2020-08-28 |
| 1548873904 | Lora Jane Lambert | Technician | 12 Willis Ways Rd, Welch, WV 24801-9781 | 2020-08-26 |
| 1245842491 | Brittany S Copley | Technician | 299 Beech St, Welch, WV 24801-2307 | 2020-08-19 |
| Find all providers in WELCH | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013093350 | Tug River Health Association, Inc | Clinic/Center | 950 Mount View Rd, Suite 500, Welch, WV 24801-2810 | 2006-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902404965 | Variety Care, Inc. | Clinic/Center | 201 Ne 50th St Ste 117, Oklahoma City, OK 73105-1811 | 2020-10-13 |
| 1699318550 | Community Health Center of Northeast Oklahoma, Inc. | Clinic/Center | 220 S Mickey Mantle Blvd, Commerce, OK 74339-2924 | 2019-10-23 |
| 1013567940 | Community Health Center of Southeast Kansas, Inc. | Clinic/Center | 7 S 1st St, Wyandotte, OK 74370-2268 | 2019-09-12 |
| 1013569961 | Community Health Connection, Inc. | Clinic/Center | 13702 E 46th Pl, Tulsa, OK 74134-5919 | 2019-07-11 |
| 1184286726 | Central Oklahoma Family Medical Center, Inc | Clinic/Center | 302 W Smith Street, Stratford, OK 74872-4648 | 2019-07-03 |
| 1982263752 | Shortgrass Community Health Center, Inc | Clinic/Center | 211 East Broadway, Altus, OK 73521 | 2019-06-06 |
| 1265902589 | Community Health Center of Northeast Oklahoma | Clinic/Center | 244 S Scraper Suite D, Vinita, OK 74301-3716 | 2018-11-29 |
| 1063988673 | Central Oklahoma Family Medical Center, Inc | Clinic/Center | 905 Colony Drive Bldg, Ada, OK 74820 | 2018-10-22 |
| 1306352547 | Variety Care, Inc. | Clinic/Center | 721 W Britton Rd, Oklahoma City, OK 73114-2909 | 2017-12-26 |
| 1568976991 | Arkansas Verdigris Valley Health Centers,inc. | Clinic/Center | 201 North 32nd Street, Muskogee, OK 74401-2104 | 2017-11-21 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on COMMUNITY HEALTH CENTER OF NORTHEAST OKLAHOMA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.