| Community Health Connection, Inc. | |
|
13702 E 46th Pl Tulsa OK 74134-5919 | |
| (918) 622-0641 | |
| (918) 622-4814 |
| Full Name | Community Health Connection, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 13702 E 46th Pl, Tulsa, Oklahoma |
| Authorized Official Name and Position | Stephanie Zahner (HR MANAGER) |
| Authorized Official Contact | 9186220641 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Health Connection, Inc. 2321 E 3rd St Tulsa OK 74104-1831 Ph: (918) 710-4403 | Community Health Connection, Inc. 13702 E 46th Pl Tulsa OK 74134-5919 Ph: (918) 622-0641 |
| NPI Number | 1013569961 |
|---|---|
| Provider Enumeration Date | 07/11/2019 |
| Last Update Date | 07/11/2019 |
| Medicare PECOS PAC ID | 5991756397 |
|---|---|
| Medicare Enrollment ID | O20190923001159 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013569961 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | () | Primary |
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