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NPI Code Detail

MEDICARE: MORTON COMPREHENSIVE HEALTH SERVICES, INC

MEDICARE: MORTON COMPREHENSIVE HEALTH SERVICES, 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
1261QF0400XFederally Qualified Health Center (FQHC)OK

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3371805OTHEROKMEDICARE PART A

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
21215922844OTHEROKNPI
41275528085OTHEROKMORTON MAIN CLINIC NPI NUMBER

General Provider Information

NPI Number : 1215922844
Entity Type Code : Organization
Provider Name (Legal Business Name) : MORTON COMPREHENSIVE HEALTH SERVICES, INC
Provider Business Mailing Address
First Line : 1334 N LANSING AVE
Second Line :
City : TULSA
State : OK
Zip : 74106-5907
Country : US
Telephone Number : 918-587-2171
Fax Number : 918-582-2773
Provider Business Practice Location Address
First Line : 102 N DENVER AVE
Second Line :
City : TULSA
State : OK
Zip : 74103-1820
Country : US
Telephone Number : 918-582-8203
Fax Number : 918-582-2773
Authorized Official
Title or Position : CFO
Name : SAUNYA MOORE
Credential :
Telephone Number : 918-295-6107
Provider Enumeration Date : 09/20/2005
Last Update Date : 07/24/2019

Similar Medicare Providers

1669514378 — MS. ROXANN RENEE MOELLER LCSW
Practice Location Address:
102 N DENVER
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74103-1820
Practice Phone: 918-582-1200
Practice Fax: 918-581-0777
1104968601 — MR. ROBERT MALCOLM KAY V BS
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102 N DENVER
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1699817155 — MRS. MEEYOUN IN PAVLICEK LPC
Practice Location Address:
102 N DENVER
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Practice Fax: 918-581-0777
1881737054 — MR. ROGER KEITH SLAGLE
Practice Location Address:
102 N DENVER
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74103-1820
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1891838074 — MS. AMANDA MORGAN FAITH BA CM A
Practice Location Address:
102 N DENVER
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1194869164 — MRS. CARI LYNN MEEKER BA
Practice Location Address:
102 N DENVER
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74103-1820
Practice Phone: 918-382-1200
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Directions to “MORTON COMPREHENSIVE HEALTH SERVICES, INC ” Practice Location

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