NPIMap

Organization Active NPI

Tulsa City-County Health Department

  • Federal Public Health Clinic/Center
  • Tulsa, OK
National Provider Identifier
1104912674
Registry record updated Jun 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federal Public Health Clinic/CenterTaxonomy code 261QP0904X
Legal business name
TULSA CITY-COUNTY HEALTH DEPARTMENT
Practice address
315 S Utica Ave
Tulsa, OK 74104-2203
Phone
(918) 594-4706
Fax
(918) 594-4889
NPI assigned
Oct 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Priscilla Haynes
Title
Divison Chief, Community Health
Phone
(918) 594-4822

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federal Public Health Clinic/Center 261QP0904X Primary

Addresses

Primary practice location

315 S Utica Ave
Tulsa, OK 74104-2203

Mailing address

315 S Utica Ave
Tulsa, OK 74104-2203
Phone (918) 594-4706

Other identifiers 1

IdentifierTypeStateIssuer
100749470BMedicaidOK

Other names 1

  • Child Health Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Tulsa County Medical SE10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466035200000",
    "number": "1104912674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 S UTICA AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741042203",
            "telephone_number": "918-594-4706",
            "fax_number": "918-594-4889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 S UTICA AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741042203",
            "telephone_number": "918-594-4706",
            "fax_number": "918-594-4889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TULSA CITY-COUNTY HEALTH DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2016-06-16",
        "status": "A",
        "authorized_official_last_name": "HAYNES",
        "authorized_official_first_name": "PRISCILLA",
        "authorized_official_title_or_position": "DIVISON CHIEF, COMMUNITY HEALTH",
        "authorized_official_telephone_number": "918-594-4822"
    },
    "taxonomies": [
        {
            "code": "261QP0904X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, Federal",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100749470B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Child Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.