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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