CITY RESCUE MISSION MEDICAL CLINIC (NPI# 1194944272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194944272 |
| Entity Type | Organization |
| Organization Name | CITY RESCUE MISSION MEDICAL CLINIC |
| Practice Address |
800 W California Ave Oklahoma City OK 73106-7807 |
| Practice Telephone | 4052322709 |
| Practice Fax Number | 4052360341 |
| Mailing Telephone | 4052322709 |
| Mailing Fax Number | 4052360341 |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DEBRA MCCULLOCK (CLINIC DIRECTOR) |
| Authorized Official Telephone | 4052322709 |
| Authorized Official Credential | ARNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities |
| Street Address |
800 W CALIFORNIA AVE |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73106-7807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851782221 | Paul Joseph Garrett | Counselor | 800 W California Ave, Oklahoma City, OK 73106-7807 | 2015-02-06 |
| 1013282094 | Community Health Centers, Inc. | Community/Behavioral Health | 800 W California Ave, Oklahoma City, OK 73106-7807 | 2012-03-09 |
| 1982810818 | Megan Rachel Bryan | Counselor | 800 W California Ave, Oklahoma City, OK 73106-7807 | 2007-05-15 |
| 1093936924 | City Rescue Mission Dental Clinic | Dentist | 800 W California Ave, Oklahoma City, OK 73106-7807 | 2007-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538625660 | Symachia LLC | Physician Assistant | 115 N. Main St., Cashion, OK 73106 | 2019-02-13 |
| 1598290538 | Eric T Manuel | Counselor | 1841 Nw 18th Street, Oklahoma City, OK 73106 | 2017-04-27 |
| 1679010516 | Danny Lee Stone | Peer Specialist | 3010 N Mckinley Ave, Oklahoma City, OK 73106 | 2017-01-31 |
| 1245683929 | Shandi Alphonso | Peer Specialist | 1219 N.w. 9th St., Okc, OK 73106 | 2016-07-19 |
| 1033593173 | Good Journey Hospice, LLC | Hospice Care, Community Based | 901 Nw 25th, Room 2, Oklahoma City, OK 73106 | 2015-07-18 |
| 1114317435 | Savanah Brook Caddel | Counselor | 1251 Nw 25th St, Oklahoma City, OK 73106 | 2015-01-24 |
| 1619381084 | Theressa Hall | Case Manager/Care Coordinator | 1330 N. Classen Blvd, Suite 302, Oklahoma City, OK 73106 | 2014-06-13 |
| 1417376021 | Christe Lyn Sweat | Case Manager/Care Coordinator | 900 Nw 10 Street, Oklahoma City, OK 73106 | 2014-04-10 |
| 1003169004 | Jessica Stevie Schrameck | Counselor | 1017 Nw 6th St., Oklahoma City, OK 73106 | 2012-10-16 |
| 1841579166 | Frances Bernice Pasternik | Counselor | 2220 North Classen Blvd, Suite E, Oklahoma City, OK 73106 | 2011-08-04 |
| Find all providers in zip 73106 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972117885 | Christ Community Health Coalition | Clinic/Center | 101 Sw 25th St, Oklahoma City, OK 73109-6019 | 2020-09-08 |
| 1154764173 | Ne Wellness Community Health Clinic | Clinic/Center | 2600 Ne 63rd Street, Oklahoma City, OK 73111 | 2013-04-09 |
| 1861868259 | Passport Health of Oklahoma | Clinic/Center | 3000 United Founders Blvd, Suite 137, Oklahoma City, OK 73112-3958 | 2015-08-19 |
| 1235546961 | South Wellness Community Health Clinic | Clinic/Center | 1122 Ne 13th St, Ori 274, Oklahoma City, OK 73117-1039 | 2014-07-15 |
| 1255621173 | Intergrated Comprehensive Health Care Services | Clinic/Center | 8101 Nw 10th St, Suite B Room 7&8, Oklahoma City, OK 73127-2974 | 2011-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558733782 | Eastpointe Medical Clinic Inc | Clinic/Center | 1506 S Broadway St, Poteau, OK 74953-2900 | 2015-10-27 |
| 1275897357 | Andre Christopher Post | Clinic/Center | 2921 E 91st S, Tulsa, OK 74137-3322 | 2012-07-03 |
| 1588982714 | Home Health Partners, LLC | Clinic/Center | 3505 S 113th West Ave, Ste C, Sand Springs, OK 74063-2720 | 2010-05-12 |
| 1194840389 | Hope Center Health Clinic | Clinic/Center | 1251 N Broadway, Edmond, OK 73034-3616 | 2007-03-20 |
| 1093860272 | Stillwater Chiropractic Clinic Inc | Clinic/Center | 211 N Perkins Rd Ste 20, Stillwater, OK 74075-5518 | 2007-01-25 |
| 1063036424 | Restorer of Youth and Families LLC | Clinic/Center | 1831 E 71st St, Tulsa, OK 74136-3922 | 2020-06-02 |
| 1265975668 | Three Rivers Health Center Muskogee | Clinic/Center | 1001 S 41st St E, Muskogee, OK 74403-6253 | 2016-12-02 |
| 1871048249 | Jimmy Keith Ogden, Dc, PC | Clinic/Center | 3711 Chandler Rd, Muskogee, OK 74403-4930 | 2016-08-16 |
| 1639537194 | Garland Kent II | Clinic/Center | 200 White Eagle Dr, Ponca City, OK 74601-8315 | 2016-01-29 |
| 1255797460 | Latasha Leon | Clinic/Center | 200 White Eagle Dr, Ponca City, OK 74601-8315 | 2016-01-05 |
| Find all providers with the same taxonomy | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73106 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.