| Northeastern Oklahoma Community Health Centers, Inc | |
|
1779 Buffington Rd Westville OK 74965-7353 | |
| (918) 723-3997 | |
| (918) 723-3889 |
| Full Name | Northeastern Oklahoma Community Health Centers, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1779 Buffington Rd, Westville, Oklahoma |
| Authorized Official Name and Position | Scott Rosenthal (CEO) |
| Authorized Official Contact | 9187723390 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeastern Oklahoma Community Health Centers, Inc Po Box 751 Hulbert OK 74441-0751 Ph: (918) 772-3390 | Northeastern Oklahoma Community Health Centers, Inc 1779 Buffington Rd Westville OK 74965-7353 Ph: (918) 723-3997 |
| NPI Number | 1821390402 |
|---|---|
| Provider Enumeration Date | 12/02/2010 |
| Last Update Date | 12/04/2023 |
| Medicare PECOS PAC ID | 3678482635 |
|---|---|
| Medicare Enrollment ID | O20110503000828 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821390402 | NPI | - | NPPES |
| 200006960I | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Community Physicians Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 419 S Williams, Westville, OK 74965 Phone: 918-723-5456 Fax: 918-723-4080 |