Healthcare Provider Details

I. General information

NPI: 1871771188
Provider Name (Legal Business Name): COMMUNITY HEALTH PARTNERS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/08/2008
Last Update Date: 02/08/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1102 W MACARTHUR ST
SHAWNEE OK
74804-1743
US

IV. Provider business mailing address

1102 W MACARTHUR ST
SHAWNEE OK
74804-1743
US

V. Phone/Fax

Practice location:
  • Phone: 405-273-2270
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number2162
License Number StateOK
# 2
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number2162
License Number StateOK

VIII. Authorized Official

Name: MR. CHARLES SKILLINGS
Title or Position: PRESIDENT/CHIEF EXECUTIVE OFFICER
Credential:
Phone: 405-878-8110