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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
1207Q00000XFamily Medicine Physician
2207V00000XObstetrics & Gynecology Physician
3208000000XPediatrics Physician
4261QD0000XDental Clinic/Center
5261QF0400XFederally Qualified Health Center (FQHC)

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1WCDPGOTHEROKMEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
41275528085OTHEROKNPI

General Provider Information

NPI Number : 1275528085
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 : 918-587-2171
Provider Business Practice Location 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 : 918-587-2171
Authorized Official
Title or Position : DIRECTOR QUALITY
Name : LOIS PHILLIPS
Credential :
Telephone Number : 918-295-6104
Provider Enumeration Date : 09/19/2005
Last Update Date : 08/24/2023

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74106-5907
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1285636829 — RUNAKO D WHITTAKER MD
Practice Location Address:
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74106-5907
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Practice Fax: 918-295-6155
1841292331 — MS. CHARLENE FRANKLIN
Practice Location Address:
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TULSA, OK
74106-5907
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Practice Fax: 918-295-6149
1528053170 — DR. GAYLE A DENNEHY DDS
Practice Location Address:
1334 N LANSING AVE
TULSA, OK
74106-5907
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1619962248 — CLIFF TIMMONS
Practice Location Address:
1334 N LANSING AVE
TULSA, OK
74106-5907
Practice Phone: 918-587-2171
Practice Fax: 918-582-0529

Directions to “MORTON COMPREHENSIVE HEALTH SERVICES, INC ” Practice Location

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