Organization
MORTON COMPREHENSIVE HEALTH SERVICES, INC
Active
Other names
East Tulsa Family Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
SAUNYA MOORE (CFO)
(918) 295-6107
Entity
Organization
Contact information
Practice address
11511 E 21ST ST, TULSA, OK 74129-1815
(918) 295-6185
(918) 439-4205
Mailing address
1334 N LANSING AVE, TULSA, OK 74106-5907
(918) 587-2171
(918) 439-4205
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100768880F
—
OK
01
—
1205822830
NPI
OK
01
—
WCDPG
MEDICARE
OK
Enumeration date
09/20/2005
Last updated
07/24/2019
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