Organization
COMMUNITY HEALTH CONNECTION INC
Active
Organization
COMMUNITY HEALTH CONNECTION INC
Active
Other names
Community Health Connection
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TRACY R HISCOCK (HR MANAGER)
(918) 622-0641
Entity
Organization
Contact information
Practice address
9912 E 21ST ST, TULSA, OK 74129-1620
(918) 622-0641
(918) 622-4814
Mailing address
9912 E 21ST ST, TULSA, OK 74129-1620
(918) 622-0641
(918) 622-4814
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200082520A
—
OK
Enumeration date
07/30/2006
Last updated
08/25/2011
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