COMMUNITY HEALTH CENTERS INC. (NPI# 1376725812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376725812 |
| Entity Type | Organization |
| Organization Name | COMMUNITY HEALTH CENTERS INC. |
| Other Organization Name | PERRY A. KLAASSEN FAMILY MEDICAL CENTER |
| Practice Address |
1901 Springlake Drive Oklahoma City OK 73111-5201 |
| Mailing Address |
Po Box 30589 Midwest City OK 73140 |
| Practice Telephone | 4055218486 |
| Practice Fax Number | 4055218486 |
| Mailing Telephone | 4057693301 |
| Mailing Fax Number | 4057699685 |
| Enumeration Date | 2007-11-27 |
| Last Update Date | 2020-04-28 |
| Authorized Official Name | MS. 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 |
|---|---|
| Perry A. Klaassen Family Medical Center | Doing Business As Name - Organization |
| Perry Klaassen Family Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1265415806 | Community Health Centers Inc. | Clinic/Center | 12716 Ne 36th Street, Spencer, OK 73084-9167 | 2005-11-29 |
| 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 |
1901 SPRINGLAKE DRIVE |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73111-5201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689114779 | Brandi N Ridley | Counselor | 3621 N. Kelley Ave Ste. 100, Oklahoma City, OK 73111 | 2017-03-08 |
| 1790134708 | Raymond Arthur Smith Jr. | Counselor | 2329 Nw 111th, Oklahoma, OK 73111 | 2016-06-09 |
| 1124485263 | Oklahoma City County Health Department | Public Health or Welfare | 2700 Ne 63rd Street, Oklahoma City, OK 73111 | 2016-01-20 |
| 1528438710 | Brendel Lacey | Case Manager/Care Coordinator | 3017 N Martin Luther King Avenue, Oklahoma City, OK 73111 | 2015-09-30 |
| 1194108746 | Mary Margaret Mcmiller | Social Worker | 2700 Ne 63rd St, Oklahoma City, OK 73111 | 2015-07-01 |
| 1386037349 | Michelle Patrick | Counselor | 2525 Nw Expressway Suite 531, Building Up People Behavioral Health Service, Oklahoma, OK 73111 | 2015-03-13 |
| 1154764173 | Ne Wellness Community Health Clinic | Clinic/Center | 2600 Ne 63rd Street, Oklahoma City, OK 73111 | 2013-04-09 |
| 1033458070 | Mary Boyles | Case Manager/Care Coordinator | 1732 N Kelly, Oklahoma, OK 73111 | 2013-02-12 |
| 1427312164 | Sharonda Lavon Bowie | Counselor | 1328 Ne 53rd St, Oklahoma City, OK 73111 | 2012-06-27 |
| 1598029373 | Michael Brown | Counselor | 4413 Rock Island Circle, Oklahoma City, OK 73111 | 2012-06-27 |
| Find all providers in zip 73111 | ||||
| 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 |
|---|---|---|---|---|
| 1902404965 | Variety Care, Inc. | Clinic/Center | 201 Ne 50th St Ste 117, Oklahoma City, OK 73105-1811 | 2020-10-13 |
| 1306352547 | Variety Care, Inc. | Clinic/Center | 721 W Britton Rd, Oklahoma City, OK 73114-2909 | 2017-12-26 |
| 1962741157 | Variety Care, Inc.c | Clinic/Center | 3000 N Grand Blvd, Oklahoma City, OK 73107-1818 | 2013-02-07 |
| 1023091519 | Community Health Centers, Inc. | Clinic/Center | 411 Nw 11th St, Oklahoma City, OK 73103 | 2005-11-29 |
| 1457980526 | Variety Care Inc | Clinic/Center | 5401 N Portland Ave Ste 500, Oklahoma City, OK 73112-2126 | 2020-04-02 |
| 1972056372 | Variety Care, Inc. | Clinic/Center | 4000 W Reno Ave, Oklahoma City, OK 73107-6632 | 2016-08-02 |
| 1083086706 | Variety Care, Inc. | Clinic/Center | 2208 W Hefner Rd, Oklahoma City, OK 73120-7618 | 2015-10-21 |
| 1770826661 | Variety Care, Inc. | Clinic/Center | 4021 S Walker Ave Ste 201, Oklahoma City, OK 73109-6972 | 2013-03-29 |
| 1518222306 | Community Health Centers At Red Rock | Clinic/Center | 4400 N. Lincoln Blvd, Oklahoma City, OK 73105 | 2012-07-09 |
| 1285940833 | Oklahoma Community Health Services, Inc. | Clinic/Center | 4436 Nw 50th St, Oklahoma City, OK 73112-2212 | 2010-08-20 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73111 |
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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.