Community Health Connection

LBN: Community Health Connection Inc
Community Health Connection is an health care organization with primary practice located at 9912 E 21St St , Tulsa OK 74129-1620. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Community Health Connection Inc can be contacted via phone (918) 622-0641, or through Hiscock, Tracy R via phone (918) 622-0641.

Contact Information

Primary practice address
9912 E 21St St Tulsa OK 74129-1620
Phone: (918) 622-0641
Fax: (918) 622-4814
Website:
Map and Directions
Authorized official contact:
Name: Hiscock, Tracy R
Phone: (918) 622-0641

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X Oklahoma

Profile Details

NPI number 1194730911
LBN Legal business name Community Health Connection Inc
DBA Doing business as Community Health Connection
Authorized official Hiscock, Tracy R
Entity Organization
Organization subpart 1 No
Enumeration date Jul 30th, 2006
Last updated Aug 25th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194730911 NPPES
Oklahoma MEDICAID 200082520A

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