Indian Health Care Resource Center Of Tulsa, Inc.
LBN: Indian Health Care Resource Center
Indian Health Care Resource Center Of Tulsa, Inc. is an health care organization with primary practice located at 550 South Peoria Ave , Tulsa OK 74120-3820. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty.
Indian Health Care Resource Center can be contacted via phone (918) 588-1900, or through Holman, Deanna E via phone (918) 588-1900.
Contact Information
Primary practice address
550 South Peoria Ave
Tulsa OK 74120-3820
Phone: (918) 588-1900
Fax: (918) 582-8552
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | ||
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | 371806 | Oklahoma |
Profile Details
NPI number | 1427034958 |
---|---|
LBN Legal business name | Indian Health Care Resource Center |
DBA Doing business as | Indian Health Care Resource Center Of Tulsa, Inc. |
Authorized official | Holman, Deanna E |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Dec 16th, 2005 |
Last updated | Apr 25th, 2024 - about 7 months 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1427034958 | NPPES |
Oklahoma | Other | 37-1806 | FQHC MEDICARE ID/NUMBER |
Oklahoma | MEDICAID | 100732910A | FQHC MEDICARE ID/NUMBER |
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