Provider Type Icon

COMMUNITY HEALTH CENTER OF NORTHEAST OKLAHOMA INC. NPI 1699318550


NPI Information

NPI: 1699318550
Provider Name: COMMUNITY HEALTH CENTER OF NORTHEAST OKLAHOMA, INC.

Doing Business As: COMMERCE COMMUNITY HEALTH CENTER

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 37D2073020

Address:
220 S MICKEY MANTLE BLVD
COMMERCE, OK
ZIP 74339
Phone: (918) 257-8029
Get Directions

COMMUNITY HEALTH CENTER OF NORTHEAST OKLAHOMA, INC. is a federally qualified health center (fqhc) clinic center in Commerce, OK. COMMUNITY HEALTH CENTER OF NORTHEAST OKLAHOMA, INC. NPI is 1699318550. The provider is registered as an organization entity type.
The provider Is Doing Business As Commerce Community Health Center.

The provider's business location address is:

220 S MICKEY MANTLE BLVD
COMMERCE, OK
ZIP 74339-924
Phone: (918) 257-8029
Fax: (918) 257-8042

The provider's authorized official is Janet Mendez .
The authorized official title is Ceo and has the following contact phone number (918) 257-8029.

The CLIA number assigned to this NPI record is 37D2073020 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/23/2019 and was last updated on 1/15/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.