# NE WELLNESS COMMUNITY HEALTH CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA-OU PHYSICIANS
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1154764173
- **Legal business name:** BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA-OU PHYSICIANS
- **Authorized official:** JOHN P ZUBIALDE MD (EXECUTIVE DEAN)
- **Authorized official phone:** (405) 271-1515

## Contact information

- **Practice address:** 2600 NE 63RD STREET, OKLAHOMA CITY, OK 73111
- **Practice address phone:** (405) 271-5859
- **Mailing address:** 1122 NE 13TH ST, ORI 274, OKLAHOMA CITY, OK 73117-1039
- **Mailing address phone:** (405) 271-1515
- **Mailing address fax:** (405) 271-1001

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/09/2013
- **Last updated:** 01/06/2020