COMMUNITY HEALTH CENTERS INC. (NPI# 1437133790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437133790 |
| Entity Type | Organization |
| Organization Name | COMMUNITY HEALTH CENTERS INC. |
| Other Organization Name | MARY MAHONEY HEALTH CENTER AT LANGSTON |
| Practice Address |
300 Martin L. King Langston OK 73050-1253 |
| Mailing Address |
Po Box 30589 Midwest City OK 73140 |
| Practice Telephone | 4054662535 |
| Practice Fax Number | 4054662554 |
| Mailing Telephone | 4057693301 |
| Mailing Fax Number | 4057699685 |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2020-04-28 |
| Authorized Official Name | 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 | 100709120C | 05 |
| Other Name | Type Code |
|---|---|
| Mary Mahoney Health Center @ Langston | Doing Business As Name - Organization |
| Mary Mahoney Health Center at Langston | 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 |
| 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 |
300 MARTIN L. KING |
| City | LANGSTON |
| State | OK |
| Zip Code | 73050-1253 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033725205 | Craig Dawson | Nurse Practitioner | 300 Martin L. King, Langston, OK 73050-7308 | 2020-09-22 |
| 1194340083 | Community Health Centers, Inc. | Community/Behavioral Health | 300 Martin L. King, Langston, OK 73084-7308 | 2020-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306250766 | Competivite Edge Plus | Case Management | 402 S. W Mass St., Langston, OK 73050 | 2014-06-13 |
| 1336576966 | Mary Ann Elledge | Behavioral Analyst | 513 S.w. Bruce St., Langston, OK 73050 | 2013-09-27 |
| 1336493774 | Angela Glander | Counselor | 622 West Matthews, Langston, OK 73050 | 2012-11-07 |
| 1679838015 | Nekia Shawntelle Pride | Counselor | 209 Sw Lincoln St, Langston, OK 73050 | 2012-07-11 |
| 1063706406 | Langston University | Clinic/Center | 1233 Highway 33 East, C.f. Gayles Fieldhouse Room 161, Langston, OK 73050 | 2011-06-02 |
| 1548575889 | Venkata Krishna Digumarthi | Dentist | 300 N Martin Luther King Street, L, Langston, OK 73050 | 2010-08-11 |
| 1063731834 | Misty B Ellerby | Counselor | 401 S. Oklahoma, Langston, OK 73050 | 2010-05-19 |
| 1396916540 | Johnson W Sanford | Family Medicine | 300 N Martin Luther King, Langston, OK 73050 | 2008-03-17 |
| 1417200544 | Corvetta Carpenter | Counselor | 2133 Hwy 33, Langston Commons Apt 15h, Langston, OK 73050-0400 | 2012-10-26 |
| 1134588445 | Gerrod Smith Sr. | Case Manager/Care Coordinator | 727 Old Highway 33, Langston, OK 73050-0465 | 2016-02-15 |
| Find all providers in zip 73050 | ||||
| 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 |
| 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 | ||||
Please comment or provide details below to improve the information on COMMUNITY HEALTH CENTERS INC..
| 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.