Organization
COMMUNITY HEALTH CENTER OF NORTHEAST OKLAHOMA, INC.
Active
Parent organization
COMMUNITY HEALTH CENTER OF NE OK
Other names
Commerce Community Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY HEALTH CENTER OF NE OK
Authorized official
JANET MENDEZ (CEO)
(918) 257-8029
Entity
Organization
Contact information
Practice address
220 S MICKEY MANTLE BLVD, COMMERCE, OK 74339-2924
(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
Enumeration date
10/23/2019
Last updated
01/15/2020
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