Organization
INDIAN HEALTH CARE RESOURCE CENTER
Active
Other names
Indian Health Care Resource Center of Tulsa, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DEANNA E HOLMAN (CHIEF FINANCIAL OFFICER)
(918) 588-1900
Entity
Organization
Contact information
Practice address
550 SOUTH PEORIA AVE, TULSA, OK 74120-3820
(918) 588-1900
(918) 582-8552
Mailing address
550 S PEORIA AVE, TULSA, OK 74120-3820
(918) 588-1900
(918) 582-8552
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100732910A
—
OK
01
—
37-1806
FQHC MEDICARE ID/NUMBER
OK
Enumeration date
12/16/2005
Last updated
09/02/2025
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