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Organization

COMMUNITY HEALTH CONNECTION, INC.

Active
Other names
Community Health Connection KW
Organization subpart
No

Provider details

NPI number
Authorized official
JEFF FAUST (HR MANAGER)
(918) 622-0641
Entity
Organization

Contact information

Practice address
2321 E 3RD STREET, TULSA, OK 74104
(918) 622-0641
(918) 622-4814
Mailing address
2321 E 3RD STREET, TULSA, OK 74104
(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
200082520B
OK
Enumeration date
09/07/2011
Last updated
09/20/2016
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