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Organization

COMMUNITY HEALTH CENTER OF NORTHEAST OKLAHOMA, INC.

Active
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Organization

COMMUNITY HEALTH CENTER OF NORTHEAST OKLAHOMA, INC.

Active
Parent organization
COMMUNITY HEALTH CENTER OF NORTHEAST OKLAHOMA, INC.
Other names
CHCNEO Jay Family Medicine Clinic
Organization subpart
Yes

Provider details

NPI number
Legal business name
COMMUNITY HEALTH CENTER OF NORTHEAST OKLAHOMA, INC.
Authorized official
JANET MENDEZ (CEO)
(918) 257-8029
Entity
Organization

Contact information

Practice address
2485 N. MAIN ST., JAY, OK 74346
(918) 253-2550
(918) 253-2122
Mailing address
P.O. BOX 705, AFTON, OK 74331-0705
(918) 257-8029
(918) 257-8042

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Enumeration date
02/05/2021
Last updated
02/05/2021
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