| Community Health Center Of Northeast Oklahoma, Inc. | |
|
2485 N. Main St. Jay OK 74346 | |
| (918) 253-2550 | |
| (918) 253-2122 |
| Full Name | Community Health Center Of Northeast Oklahoma, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 2485 N. Main St., Jay, Oklahoma |
| Authorized Official Name and Position | Janet Mendez (CEO) |
| Authorized Official Contact | 9182578029 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Health Center Of Northeast Oklahoma, Inc. P.o. Box 705 Afton OK 74331-0705 Ph: (918) 257-8029 | Community Health Center Of Northeast Oklahoma, Inc. 2485 N. Main St. Jay OK 74346 Ph: (918) 253-2550 |
| NPI Number | 1114519774 |
|---|---|
| Provider Enumeration Date | 02/05/2021 |
| Last Update Date | 02/05/2021 |
| Medicare PECOS PAC ID | 9133352081 |
|---|---|
| Medicare Enrollment ID | O20210317001977 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114519774 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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Jay Family Medicine Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2485 N Main Street, Jay, OK 74346 Phone: 918-253-2550 Fax: 918-253-2559 | |
Och Jay Family Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2485 N Main St, Jay, OK 74346 Phone: 918-253-2550 Fax: 918-253-2122 | |
Sam Hider Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 859 E. Melton Drive, Jay, OK 74346 Phone: 918-253-4271 Fax: 918-253-4938 |