Organization
MORTON COMPREHENSIVE HEALTH SERVICES, INC
Active
Parent organization
MORTON COMPREHENSIVE HEALTH SERVICES INC
Other names
Morton Midtown Clinic (Homeless Clinic)
Organization subpart
Yes
Provider details
NPI number
Legal business name
MORTON COMPREHENSIVE HEALTH SERVICES INC
Authorized official
SAUNYA MOORE (CFO)
(918) 295-6107
Entity
Organization
Contact information
Practice address
102 N DENVER AVE, TULSA, OK 74103-1820
(918) 582-8203
(918) 582-2773
Mailing address
1334 N LANSING AVE, TULSA, OK 74106-5907
(918) 587-2171
(918) 582-2773
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100248650C
—
OK
01
—
1215922844
NPI
OK
01
—
1275528085
MORTON MAIN CLINIC NPI NUMBER
OK
01
—
371805
MEDICARE PART A
OK
Enumeration date
09/20/2005
Last updated
07/24/2019
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