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NPI Code Detail

MEDICARE: COMMUNITY HEALTH CENTERS, INC.

MEDICARE: COMMUNITY HEALTH CENTERS, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1013282094
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMMUNITY HEALTH CENTERS, INC.
Provider Business Mailing Address
First Line : PO BOX 30589
Second Line :
City : MIDWEST CITY
State : OK
Zip : 73140-3589
Country : US
Telephone Number : 405-769-3301
Fax Number : 405-769-9685
Provider Business Practice Location Address
First Line : 800 W CALIFORNIA AVE
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73106-7807
Country : US
Telephone Number : 405-769-3301
Fax Number : 405-769-9685
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : ROSALYN JOHNSON
Credential : MBA
Telephone Number : 405-769-3301
Provider Enumeration Date : 03/09/2012
Last Update Date : 03/09/2012

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Directions to “COMMUNITY HEALTH CENTERS, INC. ” Practice Location

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