Organization · Type 2 NPI

Community Health Center of Northeast Oklahoma, Inc.

Federally Qualified Health Center (FQHC) · Jay, OK

NPI number 1114519774 Active

Practice location

2485 N. Main St.
Jay, OK 74346

Call (918) 253-2550 Map

Fax (918) 253-2122

Mailing address

P.o. Box 705
Afton, OK 74331-0705

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

NPI record

NPI: 1114519774
Entity type: Organization (Type 2)
Issued: Feb 5, 2021
Last updated: Feb 5, 2021
Status: Active
Subpart: Yes of Community Health Center of Northeast Oklahoma, Inc.

Other names

Chcneo Jay Family Medicine Clinic · doing business as

Authorized official

Janet Mendez
CEO
(918) 257-8029

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1114519774

Community Health Center of Northeast Oklahoma, Inc.'s National Provider Identifier is 1114519774, issued on Feb 5, 2021. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Jay, OK. The record was last updated on Feb 5, 2021.