Organization
MORTON COMPREHENSIVE HEALTH SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOIS PHILLIPS (DIRECTOR QUALITY)
(918) 295-6104
Entity
Organization
Contact information
Practice address
1334 N LANSING AVE, TULSA, OK 74106-5907
(918) 587-2171
(918) 587-2171
Mailing address
1334 N LANSING AVE, TULSA, OK 74106-5907
(918) 587-2171
(918) 587-2171
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
261QD0000X
Dental Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100768880I
—
OK
01
—
1275528085
NPI
OK
05
—
J23117858
—
OK
01
—
WCDPG
MEDICARE
OK
Enumeration date
09/19/2005
Last updated
08/24/2023
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