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NPI Code Detail

MEDICARE: COMMUNITY HEALTH CENTERS, INC.

MEDICARE: COMMUNITY HEALTH CENTERS, 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
13336C0003XCommunity/Retail Pharmacy

General Provider Information

NPI Number : 1427704154
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMMUNITY HEALTH CENTERS, INC.
Provider Business Mailing Address
First Line : PO BOX 30589
Second Line :
City : MIDWEST CITY
State : OK
Zip : 73140-3589
Country : US
Telephone Number : 405-769-3301
Fax Number :
Provider Business Practice Location Address
First Line : 1006 NE 17TH ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73111-1002
Country : US
Telephone Number : 405-419-9800
Fax Number :
Authorized Official
Title or Position : CEO
Name : ISABELLA LAWSON
Credential :
Telephone Number : 405-769-3301
Provider Enumeration Date : 02/22/2022
Last Update Date : 04/23/2024

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