Healthcare Provider Details

I. General information

NPI: 1548872989
Provider Name (Legal Business Name): COMMUNITY HEALTH CENTERS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2020
Last Update Date: 08/18/2020
Certification Date: 08/18/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 E. SANTA FE
CARNEY OK
74832
US

IV. Provider business mailing address

PO BOX 30589
MIDWEST CITY OK
73140-3589
US

V. Phone/Fax

Practice location:
  • Phone: 405-865-2020
  • Fax: 405-865-2323
Mailing address:
  • Phone: 405-769-3301
  • Fax: 405-769-9685

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ISABELLA LAWSON
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: M.A.
Phone: 405-769-3301