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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