Organization · Type 2 NPI

Community Health Center of Northeast Oklahoma, Inc.

Federally Qualified Health Center (FQHC) · Commerce, OK

NPI number 1699318550 Active

Practice location

220 S Mickey Mantle Blvd
Commerce, OK 74339-2924

Call (918) 257-8029 Map

Fax (918) 257-8042

Mailing address

PO 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: 1699318550
Entity type: Organization (Type 2)
Issued: Oct 23, 2019
Last updated: Jan 15, 2020
Status: Active
Subpart: Yes of Community Health Center of Ne Ok

Other names

<unavail>
Commerce Community Health Center · doing business as
Commerce Community Health Center · 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 1699318550

Community Health Center of Northeast Oklahoma, Inc.'s National Provider Identifier is 1699318550, issued on Oct 23, 2019. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Commerce, OK. The record was last updated on Jan 15, 2020.