<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 102 N Denver Ave, Tulsa, Oklahoma. For appointments, you can reach them via phone at (918) 582-8203. The mailing address for is 1334 N Lansing Ave, Tulsa, Oklahoma and phone number is (918) 587-2171.

is licensed to practice in Oklahoma (license number ). The clinic also participates in the medicare program and its NPI number is 1215922844. 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) 582-8203.

Contact Information


	102 N Denver Ave Tulsa OK 74103-1820
	(918) 582-8203
	(918) 582-2773

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	102 N Denver Ave, Tulsa, Oklahoma
Authorized Official Name and Position	Saunya Moore (CFO)
Authorized Official Contact	9182956107
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
1334 N Lansing Ave Tulsa OK 74106-5907 Ph: (918) 587-2171	102 N Denver Ave Tulsa OK 74103-1820 Ph: (918) 582-8203

NPI Details:

NPI Number	1215922844
Provider Enumeration Date	09/20/2005
Last Update Date	07/24/2019

Medicare PECOS Information:

Medicare PECOS PAC ID	1951297621
Medicare Enrollment ID	O20170110000708

Medical Identifiers

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

Identifier	Type	State	Issuer
1215922844	NPI	-	NPPES
100248650C	Medicaid	OK
1215922844	Other	OK	NPI
371805	Other	OK	MEDICARE PART A
1275528085	Other	OK	MORTON MAIN CLINIC NPI NUMBER

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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- Medicare Primary Care in Tulsa, OK