COMMUNITY HEALTH CENTERS, INC. (NPI# 1548885718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548885718 |
| Entity Type | Organization |
| Organization Name | COMMUNITY HEALTH CENTERS, INC. |
| Practice Address |
12716 Ne 36th St Spencer OK 73084-9167 |
| Mailing Address |
Po Box 30589 Midwest City OK 73140-3589 |
| Practice Telephone | 4057693301 |
| Mailing Telephone | 4057693301 |
| Enumeration Date | 2020-06-12 |
| Last Update Date | 2020-06-12 |
| Authorized Official Name | ISABELLA LAWSON (CEO) |
| Authorized Official Telephone | 4057693301 |
| Authorized Official Credential | MA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| Behavioral Health at Mary Mahoney Memorial Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477199289 | Community Health Centers, Inc. | Clinic/Center | 509 Cagan View Rd, Clermont, FL 34714-6405 | 2019-11-27 |
| 1316421761 | Community Health Centers, Inc. | Social Worker | 610 S 200 E Ste #b, Salt Lake City, UT 84111 | 2018-09-21 |
| 1538687207 | Community Health Centers, Inc. | Dentist | 1078 S 300 E # 4, Salt Lake City, UT 84111-4638 | 2017-09-01 |
| 1811415565 | Community Health Centers, Inc. | Pediatrics | 324 Tenth Ave Ste 249, Salt Lake City, UT 84103-2889 | 2017-09-01 |
| 1699030528 | Community Health Centers, Inc. | Clinic/Center | 105 E. Santa Fe, Carney, OK 74832 | 2012-07-06 |
| 1174898142 | Community Health Centers, Inc. | Community/Behavioral Health | 516 S Hudson Ave, Oklahoma City, OK 73109-5336 | 2012-03-09 |
| 1275602476 | Community Health Centers, Inc. | Clinic/Center | 110 S Woodland St, Winter Garden, FL 34787-3546 | 2006-11-06 |
| 1023091519 | Community Health Centers, Inc. | Clinic/Center | 411 Nw 11th St, Oklahoma City, OK 73103 | 2005-11-29 |
| 1194340083 | Community Health Centers, Inc. | Community/Behavioral Health | 300 Martin L. King, Langston, OK 73084-7308 | 2020-06-16 |
| 1275158446 | Community Health Centers, Inc. | Community/Behavioral Health | 130 N Broadway Ave Ste 300, Shawnee, OK 74801-6939 | 2020-06-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COMMUNITY HEALTH CENTERS, INC. | 110 S Woodland St, Winter Garden, FL 34787-3546 |
| Street Address |
12716 NE 36TH ST |
| City | SPENCER |
| State | OK |
| Zip Code | 73084-9167 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306820550 | Douglas Lynn Young | Internal Medicine | 12716 Ne 36th St, Spencer, OK 73084-9103 | 2005-12-01 |
| 1639779986 | Betsy A Mathew | Nurse Practitioner | 12716 Ne 36th St, Spencer, OK 73084-9167 | 2020-10-27 |
| 1508465238 | Danielle Stephania Gonzalez | Social Worker | 12716 Ne 36th St, Spencer, OK 73084-9167 | 2020-10-23 |
| 1275159675 | Genae Blakely | Licensed Practical Nurse | 12716 Ne 36th St, Spencer, OK 73084-9167 | 2020-06-22 |
| 1003453580 | Ira Arthur Thomas Jr. | Nurse Practitioner | 12716 Ne 36th St, Spencer, OK 73084-9167 | 2019-12-04 |
| 1023651932 | Devon Susson Praytor | Pharmacy Technician | 12716 Ne 36th St, Spencer, OK 73084-9167 | 2019-10-23 |
| 1053954966 | Lashell Currie | Pharmacy Technician | 12716 Ne 36th St, Spencer, OK 73084-9167 | 2019-10-23 |
| 1538721626 | Natalie E Helpern | Social Worker | 12716 Ne 36th St, Spencer, OK 73084-9167 | 2019-06-28 |
| 1891251179 | Angelina Anaya-hernandez | Pharmacist | 12716 Ne 36th St, Spencer, OK 73084-9167 | 2019-02-12 |
| 1336622562 | Savannah Kaye Kappelle | Dental Hygienist | 12716 Ne 36th St, Spencer, OK 73084-9167 | 2018-09-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740728070 | Tracy Smith | Social Worker | 8507 Ne 47th Street, Spencer, OK 73084 | 2017-02-07 |
| 1316484751 | Marcus Alexander | Case Manager/Care Coordinator | 8226 Ne 26 St, Spencer, OK 73084 | 2017-01-24 |
| 1538589957 | Marcy Thornton | Counselor | #5 Rock N Horse, Spencer, OK 73084 | 2014-04-24 |
| 1710313457 | Janice Kemp | Counselor | 8717 Ne 47th, Spencer, OK 73084 | 2013-09-25 |
| 1629402367 | Robert Benard Smith II | Behavioral Analyst | 8900 Ne 51 St, Spencer, OK 73084 | 2013-08-29 |
| 1508201765 | Marlon T James | Counselor | 3711 Red Bud Dr, Spencer, OK 73084 | 2013-05-01 |
| 1144580341 | Krishaun Jackson | Counselor | 10901 N.e 59th St., Spencer, OK 73084 | 2012-05-22 |
| 1326317074 | Jamie Tyrell Thompson | Behavioral Analyst | 7924 Glory Road, Spencer, OK 73084 | 2011-12-27 |
| 1770860793 | Wendy Jones | Counselor | 8904 N.e 45th St., Spencer, OK 73084 | 2011-11-04 |
| 1114258605 | Florence Yvonne Alexander | Counselor | 12724 Ne 38th, Spencer, OK 73084 | 2010-01-22 |
| Find all providers in zip 73084 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730626458 | Blue Sky Center for Learning | Community/Behavioral Health | 303 Gunderman Rd, Spencer, NY 14883-9623 | 2017-01-20 |
| 1942360805 | Compass Pointe, Behavioral Health Services | Community/Behavioral Health | 1900 Grand Ave Ste A, Spencer, IA 51301-2200 | 2006-12-11 |
| 1528310356 | Northwest Iowa Mental Health Center | Community/Behavioral Health | 201 E 11th St, Spencer, IA 51301-4436 | 2012-10-03 |
| 1013226851 | Real Counseling Services | Community/Behavioral Health | 8800 Ne 45th St, Spencer, OK 73084-2576 | 2010-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669073623 | Keonte Criswell | Community/Behavioral Health | 11530 Andover Ct, Oklahoma City, OK 73130-8217 | 2020-11-05 |
| 1427656909 | Against All Odds Youth and Family Services | Community/Behavioral Health | 2701 Nw 185th St, Edmond, OK 73012-9795 | 2020-10-15 |
| 1730798117 | Healing Minds Counseling LLC | Community/Behavioral Health | 5300 N Meridian Ave Ste 11, Oklahoma City, OK 73112-2179 | 2020-07-30 |
| 1477170322 | Glostars LLC | Community/Behavioral Health | 19704 Vivace Dr, Edmond, OK 73012-5232 | 2020-06-26 |
| 1780201798 | Canadian County Collaborative LLC | Community/Behavioral Health | 1703 Professional Cir Ste 201, Yukon, OK 73099-6498 | 2020-06-26 |
| 1235754458 | New Life Counseling Center | Community/Behavioral Health | 1206 N Hwy 81, Duncan, OK 73533-1790 | 2020-06-12 |
| 1770108946 | Meadow Hazelhoff Counseling, LLC | Community/Behavioral Health | 9524 Conners Way, Mcloud, OK 74851-8668 | 2020-06-12 |
| 1407477920 | Keetoowah Economic Development | Community/Behavioral Health | 16414 W 760 Rd, Tahlequah, OK 74464-1675 | 2020-05-06 |
| 1992336481 | Share More Ctc, LLC | Community/Behavioral Health | 2000 N Broadway St Ste B, Moore, OK 73160-4416 | 2020-02-03 |
| 1356981138 | Grand Lake Mental Health Center Inc | Community/Behavioral Health | 2225 N Union, Ponca City, OK 74601-1536 | 2020-01-09 |
| Find all providers with the same taxonomy | ||||
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| 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.