| Indian Health Care Resource Center Of Tulsa, Inc. | |
|
550 South Peoria Ave Tulsa OK 74120-3820 | |
| (918) 588-1900 | |
| (918) 582-8552 |
| Full Name | Indian Health Care Resource Center Of Tulsa, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 550 South Peoria Ave, Tulsa, Oklahoma |
| Authorized Official Name and Position | Deanna E Holman (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 9185881900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Indian Health Care Resource Center Of Tulsa, Inc. 550 S Peoria Ave Tulsa OK 74120-3820 Ph: (918) 588-1900 | Indian Health Care Resource Center Of Tulsa, Inc. 550 South Peoria Ave Tulsa OK 74120-3820 Ph: (918) 588-1900 |
| NPI Number | 1427034958 |
|---|---|
| Provider Enumeration Date | 12/16/2005 |
| Last Update Date | 04/25/2024 |
| Medicare PECOS PAC ID | 0042117590 |
|---|---|
| Medicare Enrollment ID | O20031215000264 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427034958 | NPI | - | NPPES |
| 37-1806 | Other | OK | FQHC MEDICARE ID/NUMBER |
| 100732910A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 371806 (Oklahoma) | Secondary |
| Provider Name | April Bowling |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366472284 PECOS PAC ID: 7719884253 Enrollment ID: I20031215000239 |
| Provider Name | Michael G Scott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245399138 PECOS PAC ID: 0547256455 Enrollment ID: I20040423001304 |
| Provider Name | Elizabeth Anne Duncklee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023102928 PECOS PAC ID: 1052474145 Enrollment ID: I20090115000585 |
| Provider Name | Patrice E Mooney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104072818 PECOS PAC ID: 6103959499 Enrollment ID: I20100806000809 |
| Provider Name | Jennifer Katherine Jones |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1588695290 PECOS PAC ID: 7810012242 Enrollment ID: I20100908001124 |
| Provider Name | Jackie D W Garland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164417044 PECOS PAC ID: 3678733284 Enrollment ID: I20120319000688 |
| Provider Name | Aliakber Fakhruddin Akberali |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1245342815 PECOS PAC ID: 1456505528 Enrollment ID: I20130128000133 |
| Provider Name | Cynthia A Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801133772 PECOS PAC ID: 3678727146 Enrollment ID: I20130208000458 |
| Provider Name | Valerie Michelle Howard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154615102 PECOS PAC ID: 4183846314 Enrollment ID: I20141104000244 |
| Provider Name | Jesicah Marie Gilmore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487970158 PECOS PAC ID: 2567694193 Enrollment ID: I20141203000568 |
| Provider Name | Arthur L Holleman |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1326137357 PECOS PAC ID: 9931422607 Enrollment ID: I20150105000748 |
| Provider Name | Jason Robert Menting |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1720336142 PECOS PAC ID: 1355665498 Enrollment ID: I20150121001492 |
| Provider Name | Joanna Omega Shadlow |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316123946 PECOS PAC ID: 9335465921 Enrollment ID: I20150225001233 |
| Provider Name | Gabriel David Presley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730509514 PECOS PAC ID: 1254637507 Enrollment ID: I20160311001454 |
| Provider Name | Kasi Melissa Ketcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417403759 PECOS PAC ID: 5294017018 Enrollment ID: I20170131000610 |
| Provider Name | Emmanuel Jesus Roman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366466906 PECOS PAC ID: 0143593699 Enrollment ID: I20170905000812 |
| Provider Name | James David Bright |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760808679 PECOS PAC ID: 0547533572 Enrollment ID: I20170913001278 |
| Provider Name | Joseph C Kennedy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659403327 PECOS PAC ID: 5193732428 Enrollment ID: I20181128002431 |
| Provider Name | Ashley Dawn Hopkins |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487814059 PECOS PAC ID: 9931437134 Enrollment ID: I20190827000275 |
| Provider Name | Brian Geoffrey Hall |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851596217 PECOS PAC ID: 1759640709 Enrollment ID: I20190930001358 |
| Provider Name | Danielle Nicole Hurd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972137511 PECOS PAC ID: 2668878885 Enrollment ID: I20210913002934 |
| Provider Name | Savannah Faith Ratcliff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609499581 PECOS PAC ID: 0042677247 Enrollment ID: I20230602001524 |
| Provider Name | Heather Renee Moore |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649604885 PECOS PAC ID: 2860844594 Enrollment ID: I20240118002399 |
| Provider Name | Julie Annette Robinson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053641944 PECOS PAC ID: 4688026222 Enrollment ID: I20240118003106 |
| Provider Name | Karis Deon Poafpybitty |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1932482452 PECOS PAC ID: 8224474291 Enrollment ID: I20240313000311 |
| Provider Name | Caitlin Delany Mcknight |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629634092 PECOS PAC ID: 5597103259 Enrollment ID: I20240401002945 |
| Provider Name | Abbie D Davis |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1710579230 PECOS PAC ID: 0547657983 Enrollment ID: I20240531001003 |
| Provider Name | Arica Lea Lingerfelt |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1063723682 PECOS PAC ID: 2567904980 Enrollment ID: I20240612003481 |
Tulsa Internal Medicine Physicians, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2000 S Wheeling Ave, Ste 1000, Tulsa, OK 74104 Phone: 918-748-8467 | |
Family Health And Wellness Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6532 E. 71st Street, Suite 150, Tulsa, OK 74133 Phone: 918-740-4630 Fax: 918-289-0091 | |
Family Medical Practice Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4134 S Harvard Ave Ste B3, Tulsa, OK 74135 Phone: 918-442-2236 Fax: 918-794-2333 | |
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 | |
Sunshine Care Partners Of Dfw 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 |