Healthcare Provider Details

I. General information

NPI: 1982526653
Provider Name (Legal Business Name): TULSA CITY-COUNTY HEALTH DEPARTMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5330 E 31ST ST
TULSA OK
74135-5076
US

IV. Provider business mailing address

5051 S 129TH EAST AVE
TULSA OK
74134-7004
US

V. Phone/Fax

Practice location:
  • Phone: 918-582-9355
  • Fax: 918-582-9355
Mailing address:
  • Phone: 918-582-9355
  • Fax: 918-595-9355

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KIMBERLY D RODRIQUEZ
Title or Position: MEDICAL BILLING SPECIALIST
Credential:
Phone: 918-595-4212