NPIMap

Organization Active NPI

Community Health Connection Inc

Doing business as Community Health Connection

  • Federally Qualified Health Center (FQHC)
  • Tulsa, OK
National Provider Identifier
1194730911
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
COMMUNITY HEALTH CONNECTION INC
Doing business as
Community Health Connection
Practice address
12020 E 31St St
Tulsa, OK 74146-2001
Phone
(918) 622-0641
Fax
(918) 622-4814
NPI assigned
Jul 30, 2006
Last updated
Sep 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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

Authorized official

Name
Ms. Kate Neary
Title
Ceo
Phone
(918) 622-0641

Specialties & licenses 1

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

Addresses

Primary practice location

12020 E 31St St
Tulsa, OK 74146-2001

Mailing address

12020 E 31St St
Tulsa, OK 74146-2001
Phone (918) 622-0641

Other identifiers 1

IdentifierTypeStateIssuer
200082520AMedicaidOK

Other names 1

  • Community Health Connection Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060831000413 OK Part A Provider - Federally Qualified Health Center (FQHC) 5991756397 Practice locations: Tulsa, OK

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1194730911. Details of each certification follow.

Federally qualified health center certification: CCN 371841

Legal name
COMMUNITY HEALTH CONNECTION, INC.
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 20, 2006
Last certification
Oct 20, 2006
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Apr 23, 2003 in OK
Enrollment address
12020 E 31St St
Tulsa, OK 74146-2001

Other NPIs with the same Medicare PAC ID 3

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

National Provider Directory

National Provider Directory

Locations

9912 E 21st St
Tulsa, OK 74129
Phone (918) 622-0641

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Moises Echeverria Individual Corporate DirectorBoard Member Aug 25, 2016
David Shirley Individual Corporate DirectorBoard Chair Apr 30, 2016
Robert B Williams Individual Corporate OfficerCfo Apr 16, 2013
Corporate DirectorCfo Apr 16, 2013
Kevin Doyle Individual Corporate DirectorBoard Member Jan 1, 2014
Beatriz Perez Individual Corporate DirectorBoard Member Aug 25, 2016
Brian Geoffrey Hall Individual Corporate DirectorBoard Member Sep 24, 2015
Rebecca Howard Individual Corporate DirectorBoard Member Jul 27, 2017
Andrea Nieves Individual Corporate DirectorBoard Member Sep 24, 2015
William James McCarthy Individual Corporate OfficerCeo Nov 6, 2012
Corporate DirectorCeo Nov 6, 2012
Maria Kuykendall Individual Corporate DirectorBoard Member Oct 27, 2016
Mary Miller Individual W-2 Managing EmployeeSenior Financial Analyst May 15, 2017
Guillermo Rojas Individual Corporate DirectorBoard Member Nov 17, 2016
Stephanie Zahner Individual W-2 Managing EmployeeHR Manager Dec 12, 2016

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
K-W Clinical Construction ProjectTulsa, OK, CCN 371873 Federally qualified health center Operational/Managerial Control Nov 18, 2011

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790121600000",
    "number": "1194730911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12020 E 31ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741462001",
            "telephone_number": "918-622-0641",
            "fax_number": "918-622-4814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12020 E 31ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741462001",
            "telephone_number": "918-622-0641",
            "fax_number": "918-622-4814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTH CONNECTION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A",
        "authorized_official_last_name": "NEARY",
        "authorized_official_first_name": "KATE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "918-622-0641",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200082520A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Health Connection",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.