| Indian Health Care Resource Center Of Tulsa, Inc. | |
|
530 S Peoria Avenue Tulsa OK 74120 | |
| (918) 588-1900 | |
| (918) 582-8552 |
| Full Name | Indian Health Care Resource Center Of Tulsa, Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 530 S Peoria Avenue, Tulsa, Oklahoma |
| Authorized Official Name and Position | Deanna Ellen Holman (CFO) |
| Authorized Official Contact | 9185881900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Indian Health Care Resource Center Of Tulsa, Inc. 530 S Peoria Avenue Tulsa OK 74120 Ph: (918) 588-1900 | Indian Health Care Resource Center Of Tulsa, Inc. 530 S Peoria Avenue Tulsa OK 74120 Ph: (918) 588-1900 |
| NPI Number | 1942098470 |
|---|---|
| Provider Enumeration Date | 04/25/2025 |
| Last Update Date | 04/25/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942098470 | NPI | - | NPPES |
| 1457447609 | Medicaid | OK | |
| 1427034958 | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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Community Health Connection, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 13702 E 46th Pl, Tulsa, OK 74134 Phone: 918-622-0641 Fax: 918-622-4814 | |
Qt Quikmed Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4705 S 129th East Ave, Tulsa, OK 74134 Phone: 918-994-3953 | |
Shepcole, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1532 S Peoria Ave, Tulsa, OK 74120 Phone: 918-609-5600 | |
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