Organization
COMMUNITY HEALTH CENTER OF NORTHEAST OKLAHOMA
Active
Organization
COMMUNITY HEALTH CENTER OF NORTHEAST OKLAHOMA
Active
Parent organization
COMMUNITY HEALTH CENTER OF NORTHEAST OK
Other names
Allensworth Community Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY HEALTH CENTER OF NORTHEAST OK
Authorized official
PATRICK MICHAEL PEER SR. MHA (CEO)
(918) 257-8029
Entity
Organization
Contact information
Practice address
244 S SCRAPER SUITE D, VINITA, OK 74301-3716
(918) 257-8029
(918) 257-8042
Mailing address
PO BOX 705, AFTON, OK 74331-0705
(918) 257-8029
(918) 257-8042
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
266122900A
—
OK
Enumeration date
11/29/2018
Last updated
11/29/2018
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