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
1	3336C0003X	Community/Retail Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	22105	OTHER	OK	OBN REGISTRATION NUMBER
2	1-1807	OTHER	OK	RETAIL PHARMACY PERMIT
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1588648703
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	:	OKLAHOMA CITY
State	:	OK
Zip	:	73140-3589
Country	:	US
Telephone Number	:	405-769-3301
Fax Number	:	405-769-3301

Provider Business Practice Location Address
First Line	:	12716 NE 36TH ST
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73140
Country	:	US
Telephone Number	:	405-769-3301
Fax Number	:	405-769-9685

Authorized Official
Title or Position	:	CEO
Name	:	MRS. ISABELLA LAWSON
Credential	:	MBA
Telephone Number	:	405-769-3301

Provider Enumeration Date	:	12/01/2005
Last Update Date	:	06/14/2024

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Directions to “COMMUNITY HEALTH CENTERS, INC. ” Practice Location

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