| Community Public Health, Llc | |
|
3750 W Main St Ste Aa Norman OK 73072-4645 | |
| (405) 653-0641 | |
| Not Available |
| Full Name | Community Public Health, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 3750 W Main St Ste Aa, Norman, Oklahoma |
| Authorized Official Name and Position | Karlynn Mccarrell (CEO) |
| Authorized Official Contact | 4054026811 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Public Health, Llc 3750 W Main St Ste Aa Norman OK 73072-4645 Ph: () - | Community Public Health, Llc 3750 W Main St Ste Aa Norman OK 73072-4645 Ph: (405) 653-0641 |
| NPI Number | 1356070916 |
|---|---|
| Provider Enumeration Date | 06/08/2022 |
| Last Update Date | 06/08/2022 |
| Certification Date | 06/08/2022 |
| Medicare PECOS PAC ID | 6800248220 |
|---|---|
| Medicare Enrollment ID | O20240122000286 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356070916 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Karlynn Mccarrell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699072025 PECOS PAC ID: 1254783673 Enrollment ID: I20240122000452 |
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