Organization
MORTON COMPREHENSIVE HEALTH SERVICES, INC.
Active
Other names
Family and Children Sevices
Organization subpart
No
Provider details
NPI number
Authorized official
SAUNYA MOORE (CFO)
(918) 295-6107
Entity
Organization
Contact information
Practice address
2325 S HARVARD AVE, TULSA, OK 74114-3300
(918) 587-2171
(918) 295-6194
Mailing address
1334 N LANSING AVE, TULSA, OK 74106-5907
(918) 587-2171
(918) 295-6194
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261Q00000X
Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100768880Q
—
OK
01
—
371926
MEDICARE PART A
OK
01
—
WCDPG
MEDICARE PTAN PART B
OK
Enumeration date
09/04/2013
Last updated
07/24/2019
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