Community Health Connection Pharmacy - Ellen Ochoa

LBN: Community Health Connection Inc
Community Health Connection Pharmacy - Ellen Ochoa is an health care organization with primary practice located at 12020 E 31St St , Tulsa OK 74146-7401. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Clinic Pharmacy is the primary health care specialty. Community Health Connection Inc can be contacted via phone (918) 710-4460, or through Miller, Mary Beth via phone (918) 622-0641.

Contact Information

Primary practice address
12020 E 31St St Tulsa OK 74146-7401
Fax: (918) 710-4461
Website:
Authorized official contact:
Name: Miller, Mary Beth

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Clinic Pharmacy 3336C0002X
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1457983595
LBN Legal business name Community Health Connection Inc
DBA Doing business as Community Health Connection Pharmacy - Ellen Ochoa
Authorized official Miller, Mary Beth
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 6th, 2020
Last updated Apr 1st, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457983595 NPPES
Oklahoma MEDICAID 200082520F

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