MORTON COMPREHENSIVE HEALTH SERVICES, INC (NPI# 1215922844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215922844 |
| Entity Type | Organization |
| Organization Name | MORTON COMPREHENSIVE HEALTH SERVICES, INC |
| Other Organization Name | MORTON MIDTOWN CLINIC (HOMELESS CLINIC) |
| Practice Address |
102 N Denver Ave Tulsa OK 74103-1820 |
| Mailing Address |
1334 N Lansing Ave Tulsa OK 74106-5907 |
| Practice Telephone | 9185828203 |
| Practice Fax Number | 9185822773 |
| Mailing Telephone | 9185872171 |
| Mailing Fax Number | 9185822773 |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2019-07-24 |
| Authorized Official Name | SAUNYA MOORE (CFO) |
| Authorized Official Telephone | 9182956107 |
| Is Organization Subpart | Y |
| Parent Organization Name | MORTON COMPREHENSIVE HEALTH SERVICES INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
OK | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100248650C | 05 | |
| OK | NPI | 1215922844 | 01 |
| OK | MORTON MAIN CLINIC NPI NUMBER | 1275528085 | 01 |
| OK | MEDICARE PART A | 371805 | 01 |
| Other Name | Type Code |
|---|---|
| Morton Midtown Clinic (Homeless Clinic) | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144690371 | Morton Comprehensive Health Services, Inc | Clinic/Center | 6116 W 11th St, Tulsa, OK 74127-7330 | 2015-09-30 |
| 1205822830 | Morton Comprehensive Health Services, Inc | Clinic/Center | 11511 E 21st St, Tulsa, OK 74129-1815 | 2005-09-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MORTON COMPREHENSIVE HEALTH SERVICES, INC. | 1334 N Lansing Ave, Tulsa, OK 74106-5907 |
| Street Address |
102 N DENVER AVE |
| City | TULSA |
| State | OK |
| Zip Code | 74103-1820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861038390 | Allisyn Kelsey | Case Manager/Care Coordinator | 102 N Denver Ave, Tulsa, OK 74103-1806 | 2019-11-19 |
| 1487211306 | Garrett Andrew Russell | Case Manager/Care Coordinator | 102 N Denver Ave, Tulsa, OK 74103-1806 | 2019-05-27 |
| 1740762566 | Anita Oleen Roberts | Case Manager/Care Coordinator | 102 N Denver Ave, Tulsa, OK 74103-1806 | 2018-08-29 |
| 1649756230 | Mackenzie Lea Farley | Counselor | 102 N Denver Ave, Tulsa, OK 74103-1806 | 2018-07-17 |
| 1447740410 | Kimberly Dawn Breeden | Case Manager/Care Coordinator | 102 N Denver Ave, Tulsa, OK 74103-1806 | 2018-05-15 |
| 1942705355 | William Lee Brown | Case Manager/Care Coordinator | 102 N Denver Ave, Tulsa, OK 74103-1806 | 2018-03-27 |
| 1558891259 | Pao Xiong | Case Manager/Care Coordinator | 102 N Denver Ave, Tulsa, OK 74103-1806 | 2017-06-14 |
| 1750813093 | Lasheika Tippett | Social Worker | 102 N Denver Ave, Tulsa, OK 74103-1806 | 2017-03-28 |
| 1609312602 | Jazz'lynn Durant | Case Manager/Care Coordinator | 102 N Denver Ave, Tulsa, OK 74103-1806 | 2017-01-13 |
| 1780120212 | Jazz'lynn Durant Female | Case Management | 102 N Denver Ave, Tulsa, OK 74103-1806 | 2017-01-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497392476 | Polly Gretchen Robinson | Pharmacist | W 2nd St., Suite 100, Communitycare, Tulsa, OK 74103 | 2019-12-09 |
| 1639588387 | J.a.m.e.s. Incorporation | Community/Behavioral Health | 401 South Bostone Ave, 500-27, Tulsa, OK 74103 | 2014-08-07 |
| 1609205509 | Wynetta Littles | Behavioral Analyst | 401 S Boston Suite 400, Tulsa, OK 74103 | 2013-11-01 |
| 1013260512 | Courtney Lynn Warren | Nurse Practitioner | 300 N Denver Ave, Tulsa, OK 74103 | 2012-10-22 |
| 1992848618 | Carolyn Clarke Simpson | Counselor | 102 N. Denver, Tulsa, OK 74103 | 2007-02-14 |
| 1801826045 | Loretta A Farrell | Family Medicine | 100 West Fifth Street, Ll1020, Tulsa, OK 74103 | 2006-07-04 |
| 1306222104 | Cori Bryson | Case Manager/Care Coordinator | 102 N Denver, Tulsa, OK 74103 | 2015-08-04 |
| 1033469465 | Michael Stephen Lewis | Behavioral Analyst | 102 N Denver, Tulsa, OK 74103 | 2012-09-13 |
| 1346383874 | Lauren Marie Hereford | Case Manager/Care Coordinator | 102 N Denver, Tulsa, OK 74103 | 2007-02-15 |
| 1578106837 | Damien Williams | Case Manager/Care Coordinator | 300 N Denver Ave, David L. Moss Criminal Justice Center, Tulsa, OK 74103-1420 | 2019-10-18 |
| Find all providers in zip 74103 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013569961 | Community Health Connection, Inc. | Clinic/Center | 13702 E 46th Pl, Tulsa, OK 74134-5919 | 2019-07-11 |
| 1144690371 | Morton Comprehensive Health Services, Inc | Clinic/Center | 6116 W 11th St, Tulsa, OK 74127-7330 | 2015-09-30 |
| 1255612040 | Community Health Connection, Inc. | Clinic/Center | 2321 E 3rd Street, Tulsa, OK 74104 | 2011-09-07 |
| 1457447609 | Indian Health Care Resource Center of Tulsa, Inc. | Clinic/Center | 550 S. Peoria Avenue, Tulsa, OK 74120-3825 | 2006-10-05 |
| 1427034958 | Indian Health Care Resource Center | Clinic/Center | 550 South Peoria Ave, Tulsa, OK 74120-3820 | 2005-12-16 |
| 1205822830 | Morton Comprehensive Health Services, Inc | Clinic/Center | 11511 E 21st St, Tulsa, OK 74129-1815 | 2005-09-20 |
| 1194730911 | Community Health Connection Inc | Clinic/Center | 9912 E 21st St, Tulsa, OK 74129-1620 | 2006-07-30 |
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|---|---|---|---|---|
| 1902404965 | Variety Care, Inc. | Clinic/Center | 201 Ne 50th St Ste 117, Oklahoma City, OK 73105-1811 | 2020-10-13 |
| 1699318550 | Community Health Center of Northeast Oklahoma, Inc. | Clinic/Center | 220 S Mickey Mantle Blvd, Commerce, OK 74339-2924 | 2019-10-23 |
| 1013567940 | Community Health Center of Southeast Kansas, Inc. | Clinic/Center | 7 S 1st St, Wyandotte, OK 74370-2268 | 2019-09-12 |
| 1184286726 | Central Oklahoma Family Medical Center, Inc | Clinic/Center | 302 W Smith Street, Stratford, OK 74872-4648 | 2019-07-03 |
| 1982263752 | Shortgrass Community Health Center, Inc | Clinic/Center | 211 East Broadway, Altus, OK 73521 | 2019-06-06 |
| 1265902589 | Community Health Center of Northeast Oklahoma | Clinic/Center | 244 S Scraper Suite D, Vinita, OK 74301-3716 | 2018-11-29 |
| 1063988673 | Central Oklahoma Family Medical Center, Inc | Clinic/Center | 905 Colony Drive Bldg, Ada, OK 74820 | 2018-10-22 |
| 1306352547 | Variety Care, Inc. | Clinic/Center | 721 W Britton Rd, Oklahoma City, OK 73114-2909 | 2017-12-26 |
| 1568976991 | Arkansas Verdigris Valley Health Centers,inc. | Clinic/Center | 201 North 32nd Street, Muskogee, OK 74401-2104 | 2017-11-21 |
| 1164941670 | Community Health Center of Northeast Oklahoma | Clinic/Center | 343 S. Commercial Street, Welch, OK 74369 | 2017-09-15 |
| Find all providers with the same taxonomy | ||||
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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.