Organization
COMMUNITY HEALTH CENTERS, INC.
Active
Other names
CHCI Shawnee Family Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
ISABELLA LAWSON M.B.A. (CEO)
(405) 769-3301
Entity
Organization
Contact information
Practice address
130 N BROADWAY, SUITE 300, SHAWNEE, OK 74801-6939
(405) 395-0399
(405) 395-0330
Mailing address
P.O. BOX 30589, MIDWEST CITY, OK 73140-3589
(405) 769-3301
(405) 769-9685
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100709120N
—
OK
Enumeration date
09/24/2013
Last updated
07/10/2020
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