Organization
MORTON COMPREHENSIVE HEALTH SERVICES, INC.
Active
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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