MORTON COMPREHENSIVE HEALTH SERVICES, INC. (NPI# 1972854768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972854768 |
Entity Type | Organization |
Organization Name | MORTON COMPREHENSIVE HEALTH SERVICES, INC. |
Other Organization Name | GREATER CORNERSTONE COMMUNITY DEVELOPMENT PROJECT |
Practice Address |
1334 N Lansing Ave Tulsa OK 74106-5907 |
Mailing Address |
4122 W 55th Pl Tulsa OK 74107-9108 |
Practice Telephone | 9185872171 |
Practice Fax Number | 9182956194 |
Mailing Telephone | 9185872171 |
Mailing Fax Number | 9182956194 |
Enumeration Date | 2012-09-20 |
Last Update Date | 2012-12-14 |
Authorized Official Name | LARRY D. TEASE (CHIEF FINANACIAL OFFICER) |
Authorized Official Telephone | 9185872171 |
Authorized Official Credential | CFO |
Is Organization Subpart | Y |
Parent Organization Name | MORTON COMPREHENSIVE HEALTH SERVICES, INC. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
OK | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OK | 100768880I | 05 |
Other Name | Type Code |
---|---|
Greater Cornerstone Community Development Project | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538155163 | Morton Comprehensive Health Services, Inc. | Clinic/Center | 207 S Locust St, Nowata, OK 74048-3660 | 2005-09-20 |
1962880062 | Morton Comprehensive Health Services, Inc. | Internal Medicine | 1334 N Lansing Ave, Tulsa, OK 74106-5907 | 2015-05-11 |
1285069708 | Morton Comprehensive Health Services, Inc. | Clinic/Center | 2325 S Harvard Ave, Tulsa, OK 74114-3300 | 2013-09-04 |
1134474034 | Morton Comprehensive Health Services, Inc. | Clinic/Center | 1334 N Lansing Ave, Tulsa, OK 74106-5907 | 2012-07-17 |
1003179664 | Morton Comprehensive Health Services, Inc. | Clinic/Center | 1334 N Lansing Ave, Tulsa, OK 74106-5907 | 2012-06-19 |
1275528085 | Morton Comprehensive Health Services, Inc. | Family Medicine | 1334 N Lansing Ave, Tulsa, OK 74106-5907 | 2005-09-19 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | MORTON COMPREHENSIVE HEALTH SERVICES, INC. | 1334 N Lansing Ave, Tulsa, OK 74106-5907 |
Street Address |
1334 N LANSING AVE |
City | TULSA |
State | OK |
Zip Code | 74106-5907 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316948656 | Michael T Montague | Family Medicine | 1334 N Lansing Ave, Tulsa, OK 74106-5907 | 2005-08-09 |
1750928974 | Martha Lievano-stanton | Social Worker | 1334 N Lansing Ave, Tulsa, OK 74106-5907 | 2019-12-06 |
1700420155 | Molly Ann Hannagan | Nurse Practitioner | 1334 N Lansing Ave, Tulsa, OK 74106-5907 | 2019-10-29 |
1629535174 | Jan Laverne Figart | Nurse Practitioner | 1334 N Lansing Ave, Tulsa, OK 74106-5907 | 2019-02-20 |
1326533324 | Paula Jean Rowan | Nurse Practitioner | 1334 N Lansing Ave, Tulsa, OK 74106-5907 | 2018-06-22 |
1457877433 | Amber Jones | Nurse Practitioner | 1334 N Lansing Ave, Tulsa, OK 74106-5907 | 2017-08-21 |
1003336942 | Carter G Brashears | Pharmacist | 1334 N Lansing Ave, Tulsa, OK 74106-5907 | 2017-06-21 |
1265884340 | Caleb Demarais | Counselor | 1334 N Lansing Ave, Tulsa, OK 74106-5907 | 2016-07-12 |
1033565676 | Elizabeth J Archer-cooper | Physician Assistant | 1334 N Lansing Ave, Tulsa, OK 74106-5907 | 2016-05-13 |
1821466244 | Emily Spencer | Nurse Practitioner | 1334 N Lansing Ave, Tulsa, OK 74106-5907 | 2015-09-02 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811538895 | Desma Johnson | Technician | 784 East 43rd Street North, Tulsa, OK 74106 | 2019-10-01 |
1912462094 | Breyan Lashawn Jackson | Case Manager/Care Coordinator | 3606 N Mlk Jr. Blvd, Tulsa, OK 74106 | 2019-02-04 |
1740751445 | Ernest Kaara Maina | Family Medicine | 3606 M.l.k. Jr Blvd, Tulsa, OK 74106 | 2018-12-07 |
1568969632 | A&m Healthcare Clinic | Nurse Practitioner | 3606 North Mlk Blvd, Tulsa, OK 74106 | 2018-04-06 |
1265880819 | Paula Patricia Tullis | Psychologist | 1232 N Boston, Tulsa, OK 74106 | 2016-05-24 |
1326413030 | Eartha Mcalester | Counselor | 628 E. Virgin St., Tulsa, OK 74106 | 2015-12-07 |
1114334182 | James O Brannon Jr. | Behavioral Analyst | 2745 North Main, Tulsa, OK 74106 | 2014-07-22 |
1952718512 | Teresa Marie Williams | Counselor | 3601 N. Martin Luther King Blvd, Tulsa, OK 74106 | 2014-07-16 |
1639580764 | Lynnette Dixon | Case Management | 708 East 38th Street North, Tulsa, OK 74106 | 2014-05-12 |
1184975898 | Tiara Delonia | Social Worker | 1 W 36th St N Suite 1, Tulsa, OK 74106 | 2012-09-21 |
Find all providers in zip 74106 |
Taxonomy Code | 261QM1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Multi-Specialty |
Definition to come... |
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---|---|---|---|---|
1386185353 | Neuropathy Treatment Clinic of Oklahoma LLC | Clinic/Center | 1810 E 15th St Ste D, Tulsa, OK 74104-4611 | 2017-03-10 |
1417303801 | Paradigm Hormones Tulsa, Pllc | Clinic/Center | 6316 E 102nd St, Tulsa, OK 74137-7061 | 2016-05-04 |
1487116612 | Allergy Relief of South Tulsa, LLC | Clinic/Center | 9940 E 81st St Ste 100, Tulsa, OK 74133-4501 | 2019-04-05 |
1952898751 | Emerge Medical & Well Spa | Clinic/Center | 9124 S Sheridan Rd, Tulsa, OK 74133-5332 | 2018-04-17 |
1578927141 | Healthworks Medical Group of Oklahoma P C | Clinic/Center | 3900 N Mingo Rd, Turbine Building Md 4, Tulsa, OK 74116-5000 | 2016-04-11 |
1134474034 | Morton Comprehensive Health Services, Inc. | Clinic/Center | 1334 N Lansing Ave, Tulsa, OK 74106-5907 | 2012-07-17 |
1003179664 | Morton Comprehensive Health Services, Inc. | Clinic/Center | 1334 N Lansing Ave, Tulsa, OK 74106-5907 | 2012-06-19 |
1356609739 | Ntco LLC | Clinic/Center | 2511 E 21st St, Tulsa, OK 74114-1705 | 2012-04-24 |
1902111602 | Ou Health Access Network | Clinic/Center | 4502 E 41st St, Tulsa, OK 74135-9923 | 2010-08-18 |
1396980728 | Gail Mary Flack | Clinic/Center | 635 W 11th St, Tulsa, OK 74127-9014 | 2008-12-15 |
Find all providers in TULSA |
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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.