# COMMUNITYCARE GOVERNMENT PROGRAMS, INC., D/B/A COMMUNITYCARE CHOICE, I

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CommunityCare Choice, Inc.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124853775
- **Authorized official:** MR. JOSIAH SUTTON (CHIEF OPERATING OFFICER)
- **Authorized official phone:** (918) 594-6529

## Contact information

- **Practice address:** 2 W 2ND ST STE 100, TULSA, OK 74103-3121
- **Practice address phone:** (918) 594-5295
- **Mailing address:** 2 W 2ND ST STE 100, TULSA, OK 74103-3121
- **Mailing address phone:** (918) 594-5295

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | — | NULL | Yes |

## Other

- **Enumeration date:** 09/04/2024
- **Last updated:** 09/04/2024