| Community Health Centers Inc. | |
|
300 Martin L. King Langston OK 73050-1253 | |
| (405) 466-2535 | |
| (405) 466-2554 |
| Full Name | Community Health Centers Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 300 Martin L. King, Langston, Oklahoma |
| Authorized Official Name and Position | Isabella Lawson (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 4057693301 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Health Centers Inc. Po Box 30589 Midwest City OK 73140 Ph: (405) 769-3301 | Community Health Centers Inc. 300 Martin L. King Langston OK 73050-1253 Ph: (405) 466-2535 |
| NPI Number | 1437133790 |
|---|---|
| Provider Enumeration Date | 11/30/2005 |
| Last Update Date | 04/28/2020 |
| Medicare PECOS PAC ID | 4688584436 |
|---|---|
| Medicare Enrollment ID | O20030501000035 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437133790 | NPI | - | NPPES |
| 100709120C | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Langston University Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1233 Highway 33 East, C.f. Gayles Fieldhouse Room 161, Langston, OK 73050 Phone: 405-466-2961 |