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Organization

COMMUNITY HEALTH CENTER OF NORTHEAST OKLAHOMA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PATRICK MICHAEL PEER (CEO)
(918) 257-8029
Entity
Organization

Contact information

Practice address
10405 US HIGHWAY 59 N, GROVE, OK 74344-4502
(918) 257-8029
(918) 257-8042
Mailing address
138 S. MAIN STREET, AFTON, OK 74331-1822
(918) 257-8029
(918) 257-8042

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Enumeration date
08/31/2016
Last updated
12/21/2016
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