MORTON COMPREHENSIVE HEALTH SERVICES, INC. (NPI# 1538155163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538155163 |
| Entity Type | Organization |
| Organization Name | MORTON COMPREHENSIVE HEALTH SERVICES, INC. |
| Other Organization Name | NOWATA FAMILY HEALTH CENTER |
| Practice Address |
207 S Locust St Nowata OK 74048-3660 |
| Mailing Address |
1334 N Lansing Ave Tulsa OK 74106-5907 |
| Practice Telephone | 9182739911 |
| Practice Fax Number | 9182739946 |
| Mailing Telephone | 9185872171 |
| Mailing Fax Number | 9182739946 |
| 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 | 100768880J | 05 | |
| OK | NPI | 1538155163 | 01 |
| OK | MEDICARE | WCDPG | 01 |
| Other Name | Type Code |
|---|---|
| Nowata Family Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962880062 | Morton Comprehensive Health Services, Inc. | Internal Medicine | 1334 N Lansing Ave, Tulsa, OK 74106-5907 | 2015-05-11 |
| 1285069708 | Morton Comprehensive Health Services, Inc. | Clinic/Center | 2325 S Harvard Ave, Tulsa, OK 74114-3300 | 2013-09-04 |
| 1972854768 | Morton Comprehensive Health Services, Inc. | Clinic/Center | 1334 N Lansing Ave, Tulsa, OK 74106-5907 | 2012-09-20 |
| 1134474034 | Morton Comprehensive Health Services, Inc. | Clinic/Center | 1334 N Lansing Ave, Tulsa, OK 74106-5907 | 2012-07-17 |
| 1003179664 | Morton Comprehensive Health Services, Inc. | Clinic/Center | 1334 N Lansing Ave, Tulsa, OK 74106-5907 | 2012-06-19 |
| 1275528085 | Morton Comprehensive Health Services, Inc. | Family Medicine | 1334 N Lansing Ave, Tulsa, OK 74106-5907 | 2005-09-19 |
| 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 |
207 S LOCUST ST |
| City | NOWATA |
| State | OK |
| Zip Code | 74048-3660 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225647142 | Lacey Catherine Woolman | Case Manager/Care Coordinator | 114 W. Deleware Ave, Nowata, OK 74048 | 2020-07-27 |
| 1891261095 | Kristina E Edens | Counselor | 114 W Deleware, Nowata, OK 74048 | 2018-10-16 |
| 1497247142 | Dustin James Lang | Counselor | 111 W Deleware, Nowata, OK 74048 | 2018-05-30 |
| 1679011928 | Melanie Jane Cline | Counselor | 114 West Delaware, Nowata, OK 74048 | 2017-02-07 |
| 1063955276 | Rebecca A Kidwell | Registered Nurse | 1024 Lenape Drive, Nowata, OK 74048 | 2016-11-21 |
| 1477724912 | City of Nowata Medical Trust Authority | Ambulance | 425 S. Cedar, Nowata, OK 74048 | 2008-03-12 |
| 1023238235 | Charles F Danley | Counselor | 114 W Delaware, Nowata, OK 74048 | 2007-04-27 |
| 1730221177 | Robert Bruce Rickards | Dentist | 117 W Delaware Ave, Nowata, OK 74048 | 2007-02-13 |
| 1023156791 | Debra Keith | Physician Assistant | 237 S Locust, Nowata, OK 74048 | 2007-02-02 |
| 1942390406 | Harold Lowell Meister | Optometrist | 111 North Maple Street, Nowata, OK 74048 | 2006-10-13 |
| Find all providers in zip 74048 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 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 |
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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.