Organization
COMMUNITY HEALTH CENTER OF NORTHEAST OKLAHOMA
Active
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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