COMMUNITY HEALTH CENTERS AT RED ROCK (NPI# 1518222306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518222306 |
| Entity Type | Organization |
| Organization Name | COMMUNITY HEALTH CENTERS AT RED ROCK |
| Other Organization Name | CHCI AT REDROCK |
| Practice Address |
4400 N. Lincoln Blvd Oklahoma City OK 73105 |
| Mailing Address |
Po Box 30589 Oklahoma City OK 73140 |
| Practice Telephone | 4057693301 |
| Practice Fax Number | 4057699685 |
| Mailing Telephone | 4057693301 |
| Mailing Fax Number | 4057699685 |
| Enumeration Date | 2012-07-09 |
| Last Update Date | 2017-03-29 |
| Authorized Official Name | MS. ISABELLA LAWSON (CEO) |
| Authorized Official Telephone | 4057693301 |
| Authorized Official Credential | MBA |
| 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 |
| Other Name | Type Code |
|---|---|
| CHCI at Redrock | Doing Business As Name - Organization |
| Street Address |
4400 N. LINCOLN BLVD |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710087283 | Michael Birkenholz | Registered Nurse | 4400 N. Lincoln Blvd, Oklahoma City, OK 73105 | 2006-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730795253 | Darrell Lynn Nowlin | Student in an Organized Health Care Education/Training Program | 4400 North Lincoln Boluvard, Oklahoma City, OK 73105 | 2020-09-21 |
| 1104468834 | Inas Z. Yacoub | Pathology | 921 N.e. 23rd St., Okc, OK 73105 | 2019-10-15 |
| 1861988495 | Grant Weirich | Registered Nurse | 4420 N Lincoln, Oklahoma City, OK 73105 | 2018-07-06 |
| 1073043865 | Joseph W Lee I | Case Manager/Care Coordinator | 2701 N. Oklahoma Ave, Oklahoma City, OK 73105 | 2017-06-14 |
| 1356886840 | Melissa Thompson | Counselor | 4130 N. Lincoln Blvd, Oklahoma City, OK 73105 | 2016-12-20 |
| 1285093484 | Dianne Gray | Student in an Organized Health Care Education/Training Program | 440- N. Lincoln Blvd, Oklahoma City, OK 73105 | 2016-02-16 |
| 1124392600 | Ricki Kelley | Counselor | 330 Ne 59th St., Oklahoma City, OK 73105 | 2012-03-01 |
| 1962770727 | Lakisha Murray | Counselor | 4400 N Lincoln, Oklahoma City, OK 73105 | 2011-12-08 |
| 1760700827 | Deborah Proctor | Counselor | 321 North East 28th, Suite #101, Oklahoma City, OK 73105 | 2010-05-13 |
| 1548588791 | Raganda Washington | Counselor | 321 N.e. 28th, Suite 101, Okc, OK 73105 | 2010-05-12 |
| Find all providers in zip 73105 | ||||
| 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 |
| 1376725812 | Community Health Centers Inc. | Clinic/Center | 1901 Springlake Drive, Oklahoma City, OK 73111-5201 | 2007-11-27 |
| 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 |
| 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 | 73105 |
Please comment or provide details below to improve the information on COMMUNITY HEALTH CENTERS AT RED ROCK.
| 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.