| Chci At Redrock | |
|
4400 N. Lincoln Blvd Oklahoma City OK 73105 | |
| (405) 769-3301 | |
| (405) 769-9685 |
| Full Name | Chci At Redrock |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 4400 N. Lincoln Blvd, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Isabella Lawson (CEO) |
| Authorized Official Contact | 4057693301 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chci At Redrock Po Box 30589 Oklahoma City OK 73140 Ph: (405) 769-3301 | Chci At Redrock 4400 N. Lincoln Blvd Oklahoma City OK 73105 Ph: (405) 769-3301 |
| NPI Number | 1518222306 |
|---|---|
| Provider Enumeration Date | 07/09/2012 |
| Last Update Date | 03/29/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518222306 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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