Organization
COMMUNITY HEALTH CENTERS INC.
Active
Other names
Mary Mahoney Memorial Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ISABELLA LAWSON M.B.A. (CHIEF EXECUTIVE OFFICER)
(405) 769-3301
Entity
Organization
Contact information
Practice address
12716 NE 36TH ST, OKLAHOMA CITY, OK 73140-0000
(405) 769-3301
(405) 769-9685
Mailing address
PO BOX 30589, MIDWEST CITY, OK 73140
(405) 769-3301
(405) 769-9685
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100709120B
—
OK
Enumeration date
11/29/2005
Last updated
01/17/2024
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