MEDICARE: COMMUNITY CARE HEALTH SERVICES

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	332BX2000X	Oxygen Equipment & Supplies (DME)	N/A	OK
2	333600000X	Pharmacy	2-4580	OK

General Provider Information

NPI Number	:	1962401539
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMMUNITY CARE HEALTH SERVICES

Provider Business Mailing Address
First Line	:	3218 S 79TH EAST AVE
Second Line	:	SUITE 100
City	:	TULSA
State	:	OK
Zip	:	74145-1316
Country	:	US
Telephone Number	:	918-624-4400
Fax Number	:	918-624-4401

Provider Business Practice Location Address
First Line	:	3218 S 79TH EAST AVE
Second Line	:	SUITE 100
City	:	TULSA
State	:	OK
Zip	:	74145-1316
Country	:	US
Telephone Number	:	918-624-4400
Fax Number	:	918-624-4401

Authorized Official
Title or Position	:	VICE-PRESIDENT
Name	:	MR. JOE NEELY
Credential	:
Telephone Number	:	918-451-5111

Provider Enumeration Date	:	07/18/2005
Last Update Date	:	09/11/2025

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Practice Location Address:

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