Community Health Center of Northeast Oklahoma, Inc.

NPI #1114519774 in Jay, Oklahoma

Provider Information

NPI Number: 1114519774
Entity Type: Organization
Organization Name: Community Health Center of Northeast Oklahoma, Inc.
Subpart: Yes (part of a larger organization)
Parent Organization: COMMUNITY HEALTH CENTER OF NORTHEAST OKLAHOMA, INC.
Primary Specialty: Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date: Feb 5, 2021
Last Updated: Feb 5, 2021

Practice Location

Address: 2485 N. MAIN ST.
City: Jay
State: Oklahoma
ZIP Code: 74346
Phone: (918) 253-2550

Authorized Official

Name: JANET MENDEZ
Title: CEO
Phone: (918) 257-8029

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC)	261QF0400X	Primary

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