NPIMap

Organization Active NPI

Morton Comprehensive Health Services, Inc

  • Federally Qualified Health Center (FQHC)
  • Tulsa, OK
National Provider Identifier
1144690371
Registry record updated Jul 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
MORTON COMPREHENSIVE HEALTH SERVICES, INC
Practice address
6116 W 11TH St
Tulsa, OK 74127-7330
Phone
(918) 295-9375
Fax
(918) 587-4534
NPI assigned
Sep 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2019

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

Authorized official

Name
Saunya Moore
Title
Cfo
Phone
(918) 295-6107

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

6116 W 11TH St
Tulsa, OK 74127-7330

Mailing address

1334 N Lansing Ave
Tulsa, OK 74106-5907
Phone (918) 587-2171

Other identifiers 3

IdentifierTypeStateIssuer
371918OtherOKMEDICARE PART A
100248650EMedicaidOK
WCDPGOtherOKMEDICARE PART B

Other names 1

  • Morton West Tulsa Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040227000659 OK Part B Supplier - Clinic/Group Practice 1951297621 Receives reassigned benefits from 44 practitioners
9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Nowata, OK; Tulsa, OK; Bartlesville, OK
O20160728001178 OK Part A Provider - Federally Qualified Health Center (FQHC) 1951297621 Practice locations: Tulsa, OK

Federally qualified health center certification: CCN 371918

Legal name
MORTON COMPREHENSIVE HEALTH SERVICES INC
Doing business as
MORTON WEST TULSA HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Apr 28, 2016
Last certification
Apr 28, 2016
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Mar 16, 1983 in OK
Enrollment address
6116 W 11TH Street
Tulsa, OK 74127-7330

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D2109332Morton Comprehensive Health Services, West6116 West 11TH St, Tulsa, OK 74127Provider-performed microscopyMar 7, 2027

National Provider Directory

National Provider Directory
Tax ID family
Morton Comp Health SVCS10 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.

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AGGIBD

Ownership & related parties

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Bruce Dart Individual Corporate DirectorBoard Member Jan 1, 2015
Bradford Crow Individual Corporate DirectorBoard Member Jan 1, 2015
Mary S Savage Individual Corporate OfficerCeo Feb 3, 2016 100%
Lois Phillips Individual 5% Or Greater Indirect Ownership Interest Sep 16, 2016
Corporate Director Sep 16, 2016
W-2 Managing Employee Sep 16, 2016
Ed Thomas Individual Corporate DirectorBoard Member Jan 1, 2015
Teresa Baker Individual Corporate DirectorBoard Member Jan 1, 2015

Practitioners & affiliated clinicians

Practitioners 32

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1443571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563926400000",
    "number": "1144690371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1334 N LANSING AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741065907",
            "telephone_number": "918-587-2171",
            "fax_number": "918-587-4882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6116 W 11TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741277330",
            "telephone_number": "918-295-9375",
            "fax_number": "918-587-4534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORTON COMPREHENSIVE HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-30",
        "last_updated": "2019-07-24",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "SAUNYA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "918-295-6107"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART A",
            "identifier": "371918",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100248650E",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART B",
            "identifier": "WCDPG",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Morton West Tulsa Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Morton West Tulsa Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.