COMMUNITY HEALTH CENTERS INC. (NPI# 1265415806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265415806 |
| Entity Type | Organization |
| Organization Name | COMMUNITY HEALTH CENTERS INC. |
| Other Organization Name | MARY MAHONEY MEMORIAL HEALTH CENTER |
| Practice Address |
12716 Ne 36th Street Spencer OK 73084-9167 |
| Mailing Address |
Po Box 30589 Midwest City OK 73140 |
| Practice Telephone | 4057693301 |
| Practice Fax Number | 4057699685 |
| Mailing Telephone | 4057693301 |
| Mailing Fax Number | 4057699685 |
| Enumeration Date | 2005-11-29 |
| Last Update Date | 2020-04-28 |
| Authorized Official Name | MRS. ISABELLA LAWSON (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 4057693301 |
| Authorized Official Credential | M.B.A. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100709120B | 05 |
| Other Name | Type Code |
|---|---|
| Mary Mahoney Memorial Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376725812 | Community Health Centers Inc. | Clinic/Center | 1901 Springlake Drive, Oklahoma City, OK 73111-5201 | 2007-11-27 |
| 1073611364 | Community Health Centers Inc. | Obstetrics & Gynecology | 220 W 7200 S, Suite A, Midvale, UT 84047-1043 | 2006-09-20 |
| 1205932373 | Community Health Centers Inc. | Dentist | 980 S 500 W, Suite 1, Brigham City, UT 84302-4739 | 2006-09-16 |
| 1437133790 | Community Health Centers Inc. | Clinic/Center | 300 Martin L. King, Langston, OK 73050-1253 | 2005-11-30 |
| 1366447112 | Community Health Centers Inc. | Clinic/Center | 1365 W 1000 N, Slc, UT 84116-1654 | 2005-06-17 |
| 1477558237 | Community Health Centers Inc. | Clinic/Center | 8446 Harrison St, Midvale, UT 84047-3568 | 2005-06-17 |
| 1548872989 | Community Health Centers Inc. | Community/Behavioral Health | 105 E. Santa Fe, Carney, OK 74832 | 2020-08-18 |
| 1801992953 | Community Health Centers Inc. | Obstetrics & Gynecology | 4745 S 3200 W, Salt Lake City, UT 84118-2822 | 2006-09-16 |
| 1144326208 | Community Health Centers Inc. | Dentist | 461 S 400 E, Salt Lake City, UT 84111-3302 | 2006-09-16 |
| Street Address |
12716 NE 36TH STREET |
| City | SPENCER |
| State | OK |
| Zip Code | 73084-9167 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740728070 | Tracy Smith | Social Worker | 8507 Ne 47th Street, Spencer, OK 73084 | 2017-02-07 |
| 1316484751 | Marcus Alexander | Case Manager/Care Coordinator | 8226 Ne 26 St, Spencer, OK 73084 | 2017-01-24 |
| 1538589957 | Marcy Thornton | Counselor | #5 Rock N Horse, Spencer, OK 73084 | 2014-04-24 |
| 1710313457 | Janice Kemp | Counselor | 8717 Ne 47th, Spencer, OK 73084 | 2013-09-25 |
| 1629402367 | Robert Benard Smith II | Behavioral Analyst | 8900 Ne 51 St, Spencer, OK 73084 | 2013-08-29 |
| 1508201765 | Marlon T James | Counselor | 3711 Red Bud Dr, Spencer, OK 73084 | 2013-05-01 |
| 1144580341 | Krishaun Jackson | Counselor | 10901 N.e 59th St., Spencer, OK 73084 | 2012-05-22 |
| 1326317074 | Jamie Tyrell Thompson | Behavioral Analyst | 7924 Glory Road, Spencer, OK 73084 | 2011-12-27 |
| 1770860793 | Wendy Jones | Counselor | 8904 N.e 45th St., Spencer, OK 73084 | 2011-11-04 |
| 1114258605 | Florence Yvonne Alexander | Counselor | 12724 Ne 38th, Spencer, OK 73084 | 2010-01-22 |
| Find all providers in zip 73084 | ||||
| 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 |
|---|---|---|---|---|
| 1205204476 | Cabarrus Rowan Community Health Centers, Inc. | Clinic/Center | 300 N Salisbury Ave, Spencer, NC 28159-2514 | 2015-09-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1013569961 | Community Health Connection, Inc. | Clinic/Center | 13702 E 46th Pl, Tulsa, OK 74134-5919 | 2019-07-11 |
| 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 |
| 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.