INDIAN HEALTH CARE RESOURCE CENTER OF TULSA, INC. (NPI# 1457447609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457447609 |
| Entity Type | Organization |
| Organization Name | INDIAN HEALTH CARE RESOURCE CENTER OF TULSA, INC. |
| Other Organization Name | IHCRC PHARMACY |
| Practice Address |
550 S. Peoria Avenue Tulsa OK 74120-3825 |
| Practice Telephone | 9185881900 |
| Practice Fax Number | 9185826405 |
| Mailing Telephone | 9185881900 |
| Mailing Fax Number | 9185826405 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. CARMELITA SKEETER (CEO) |
| Authorized Official Telephone | 9183821201 |
| Is Organization Subpart | N |
| 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 | IHCRC NPI | 1427034958 | 01 |
| Other Name | Type Code |
|---|---|
| IHCRC Pharmacy | Other Name - Individual/Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | INDIAN HEALTH CARE RESOURCE CENTER OF TULSA, INC. | 550 South Peoria Ave, Tulsa, OK 74120 |
| Street Address |
550 S. PEORIA AVENUE |
| City | TULSA |
| State | OK |
| Zip Code | 74120-3825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306380175 | Bridget Renee Bright | Registered Nurse | 550 S. Peoria Avenue, Tulsa, OK 74120-3820 | 2016-12-13 |
| 1134662190 | Joshua Lynn Nooner | Dietitian, Registered | 550 S. Peoria Avenue, Tulsa, OK 74120 | 2016-11-23 |
| 1992248983 | Phyllis Dawn Nabilsi | Registered Nurse | 550 S. Peoria Avenue, Tulsa, OK 74120 | 2016-11-23 |
| 1376090811 | Evan James White | Counselor | 550 S. Peoria Avenue, Tulsa, OK 74120-3820 | 2016-09-01 |
| 1619423472 | Faith Melinda Miller | Registered Nurse | 550 S. Peoria Avenue, Tulsa, OK 74120-3820 | 2016-08-31 |
| 1033665989 | Kristi Sue Grubb | Registered Nurse | 550 S. Peoria Avenue, Tulsa, OK 74120 | 2016-08-31 |
| 1417403759 | Kasi Melissa Ketcher | Nurse Practitioner | 550 S. Peoria Avenue, Tulsa, OK 74120-3820 | 2016-08-28 |
| 1316329113 | Stephanie Marie Campbell | Nurse Practitioner | 550 S. Peoria Avenue, Tulsa, OK 74120 | 2015-06-29 |
| 1326396847 | Gregory Jon Lengel | Counselor | 550 S. Peoria Avenue, Tulsa, OK 74120-3820 | 2012-08-15 |
| 1437421583 | Melanie Maree Powell | Pharmacist | 550 S. Peoria Avenue, Tulsa, OK 74120-3820 | 2012-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144704321 | Quintella Delana Miller | Case Manager/Care Coordinator | 1043 E Easton St, Tulsa, OK 74120 | 2018-09-24 |
| 1689152092 | Charles Granger Jr. | Case Manager/Care Coordinator | 103 N Greenwood, Suite 320, Tulsa, OK 74120 | 2018-07-30 |
| 1174015598 | Debra Anne Beasley | Counselor | 1619 E. 13th St., Tulsa, OK 74120 | 2018-06-01 |
| 1649775701 | Cara Marie Cantu | Licensed Practical Nurse | 620 South Peoria, Tulsa, OK 74120 | 2018-03-29 |
| 1639558745 | Wei Te Li | Student in an Organized Health Care Education/Training Program | 1207 S Quaker Ave Apt 104, Tulsa, OK 74120 | 2015-05-21 |
| 1225434350 | Marcos Rivero | Community/Behavioral Health | 130 N. Greenwood, Suite 302, Tulsa, OK 74120 | 2014-11-18 |
| 1861742348 | Tamiika Jones | Social Worker | 1533 E 13th St, Apt B, Tulsa, OK 74120 | 2012-09-12 |
| 1730408097 | Teresa Lee Henshaw | Physical Therapist | 1125 S. Trenton, Hillcrest Medical Center- Kaiser Rehab. Center, Tulsa, OK 74120 | 2010-05-26 |
| 1194970384 | Kym Lynnette Lindsay | Speech-Language Pathologist | 1125 S Trenton Ave Fl 3, Tulsa, OK 74120 | 2008-12-01 |
| 1184872004 | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | Pediatrics | 619 S. Quincy Ave., Ouptch-laura Dester Shelter, Tulsa, OK 74120 | 2008-09-04 |
| Find all providers in zip 74120 | ||||
| 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 |
|---|---|---|---|---|
| 1013569961 | Community Health Connection, Inc. | Clinic/Center | 13702 E 46th Pl, Tulsa, OK 74134-5919 | 2019-07-11 |
| 1144690371 | Morton Comprehensive Health Services, Inc | Clinic/Center | 6116 W 11th St, Tulsa, OK 74127-7330 | 2015-09-30 |
| 1255612040 | Community Health Connection, Inc. | Clinic/Center | 2321 E 3rd Street, Tulsa, OK 74104 | 2011-09-07 |
| 1427034958 | Indian Health Care Resource Center | Clinic/Center | 550 South Peoria Ave, Tulsa, OK 74120-3820 | 2005-12-16 |
| 1205822830 | Morton Comprehensive Health Services, Inc | Clinic/Center | 11511 E 21st St, Tulsa, OK 74129-1815 | 2005-09-20 |
| 1215922844 | Morton Comprehensive Health Services, Inc | Clinic/Center | 102 N Denver Ave, Tulsa, OK 74103-1820 | 2005-09-20 |
| 1194730911 | Community Health Connection Inc | Clinic/Center | 9912 E 21st St, Tulsa, OK 74129-1620 | 2006-07-30 |
| 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 |
| 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 |
| 1164941670 | Community Health Center of Northeast Oklahoma | Clinic/Center | 343 S. Commercial Street, Welch, OK 74369 | 2017-09-15 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on INDIAN HEALTH CARE RESOURCE CENTER OF TULSA, INC..
| 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.