Organization
MORTON COMPREHENSIVE HEALTH SERVICES, INC
Active
Organization
MORTON COMPREHENSIVE HEALTH SERVICES, INC
Active
Other names
Morton West Tulsa Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
SAUNYA MOORE (CFO)
(918) 295-6107
Entity
Organization
Contact information
Practice address
6116 W 11TH ST, TULSA, OK 74127-7330
(918) 295-9375
(918) 587-4534
Mailing address
1334 N LANSING AVE, TULSA, OK 74106-5907
(918) 587-2171
(918) 587-4882
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100248650E
—
OK
01
—
371918
MEDICARE PART A
OK
01
—
WCDPG
MEDICARE PART B
OK
Enumeration date
09/30/2015
Last updated
07/24/2019
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