COMMUNITY HEALTH CENTERS, INC. (NPI# 1699030528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699030528 |
| Entity Type | Organization |
| Organization Name | COMMUNITY HEALTH CENTERS, INC. |
| Practice Address |
105 E. Santa Fe Carney OK 74832 |
| Mailing Address |
Po Box 30589 Oklahoma City OK 73140 |
| Practice Telephone | 4058652020 |
| Practice Fax Number | 4057699685 |
| Mailing Telephone | 4057693301 |
| Mailing Fax Number | 4057699685 |
| Enumeration Date | 2012-07-06 |
| Last Update Date | 2018-03-01 |
| Authorized Official Name | ISABELLA LAWSON (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 4057693301 |
| Authorized Official Credential | MBA |
| 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 |
| 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 |
| 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 |
| 1548885718 | Community Health Centers, Inc. | Community/Behavioral Health | 12716 Ne 36th St, Spencer, OK 73084-9167 | 2020-06-12 |
| 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 |
105 E. SANTA FE |
| City | CARNEY |
| State | OK |
| Zip Code | 74832 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548872989 | Community Health Centers Inc. | Community/Behavioral Health | 105 E. Santa Fe, Carney, OK 74832 | 2020-08-18 |
| 1245632884 | Megan K Ballas | Nurse Practitioner | 105 E. Santa Fe, Dorothy Smith Family Medical Clinic, Carney, OK 74832 | 2014-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336625417 | Alyssa Paige Castles | Social Worker | 105 E. Santa Fe Avenue, Carney, OK 74832 | 2018-07-12 |
| 1003163296 | Affinity Counseling Sercives, LLC | Community/Behavioral Health | 632 W. Central, Carney, OK 74832 | 2012-08-07 |
| 1528392339 | Paula F Knox | Counselor | 210 West Central, Carney, OK 74832-0057 | 2009-09-25 |
| 1326514977 | Sheila Ann Good | Social Worker | 205 Hamner Park Rd, Carney, OK 74832-9707 | 2018-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235786682 | Kelli J Dupont | Registered Nurse | S110 Us Hwy 41, Carney, MI 49812 | 2019-08-21 |
| 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 |
|---|---|---|---|---|
| 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 |
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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.