Communitycare Government Programs, Inc., D/B/a Communitycare Choice, I

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

COMMUNITYCARE GOVERNMENT PROGRAMS, INC., D/B/A COMMUNITYCARE CHOICE, I

Practice address

2 W 2ND St Ste 100
Tulsa, OK 74103-3121

Phone

(918) 594-5295

NPI assigned

Sep 4, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Josiah Sutton

Title

Chief Operating Officer

Phone

(918) 594-6529

Specialties & licenses 1

Addresses

Other names 1

• CommunityCare Choice, Inc. Doing business as

Locations

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

{
    "created_epoch": "1725408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725408000000",
    "number": "1124853775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 W 2ND ST STE 100",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741033121",
            "telephone_number": "918-594-5295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 W 2ND ST STE 100",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741033121",
            "telephone_number": "918-594-5295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITYCARE GOVERNMENT PROGRAMS, INC., D/B/A COMMUNITYCARE CHOICE, I",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-04",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A",
        "authorized_official_last_name": "SUTTON",
        "authorized_official_first_name": "JOSIAH",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "918-594-6529",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CommunityCare Choice, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Health Maintenance Organization in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Health Maintenance Organization in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; 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.