Morton Midtown Clinic (homeless Clinic) | |
102 N Denver Ave Tulsa OK 74103-1820 | |
(918) 582-8203 | |
(918) 582-2773 |
Full Name | Morton Midtown Clinic (homeless Clinic) |
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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 | Practice Location Address |
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Morton Midtown Clinic (homeless Clinic) 1334 N Lansing Ave Tulsa OK 74106-5907 Ph: (918) 587-2171 | Morton Midtown Clinic (homeless Clinic) 102 N Denver Ave Tulsa OK 74103-1820 Ph: (918) 582-8203 |
NPI Number | 1215922844 |
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Provider Enumeration Date | 09/20/2005 |
Last Update Date | 07/24/2019 |
Medicare PECOS PAC ID | 1951297621 |
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Medicare Enrollment ID | O20170110000708 |
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 |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Oklahoma) | Primary |
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