<unavail> in Tulsa, OK - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Tulsa, Oklahoma. The current practice location for is 9912 E 21st St, Tulsa, Oklahoma. For appointments, you can reach them via phone at (918) 622-0641. The mailing address for is 9912 E 21st St, Tulsa, Oklahoma and phone number is (918) 622-0641.

is licensed to practice in Oklahoma (license number ). The clinic also participates in the medicare program and its NPI number is 1194730911. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (918) 622-0641.

Contact Information


	9912 E 21st St Tulsa OK 74129-1620
	(918) 622-0641
	(918) 622-4814

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	9912 E 21st St, Tulsa, Oklahoma
Authorized Official Name and Position	Tracy R Hiscock (HR MANAGER)
Authorized Official Contact	9186220641
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
9912 E 21st St Tulsa OK 74129-1620 Ph: (918) 622-0641	9912 E 21st St Tulsa OK 74129-1620 Ph: (918) 622-0641

NPI Details:

NPI Number	1194730911
Provider Enumeration Date	07/30/2006
Last Update Date	08/25/2011

Medicare PECOS Information:

Medicare PECOS PAC ID	5991756397
Medicare Enrollment ID	O20060831000413

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194730911	NPI	-	NPPES
200082520A	Medicaid	OK

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	(Oklahoma)	Primary

Reviews and Comments

Clinic/Center in Tulsa, OK

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Community Health Connection, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 13702 E 46th Pl, Tulsa, OK 74134 Phone: 918-622-0641 Fax: 918-622-4814
Qt Quikmed Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4705 S 129th East Ave, Tulsa, OK 74134 Phone: 918-994-3953
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1532 S Peoria Ave, Tulsa, OK 74120 Phone: 918-609-5600
Careatc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 808 N 161st East Ave, Tulsa, OK 74116 Phone: 800-993-8244

- Medicare Primary Care in Tulsa, OK