NPIMap

Organization Active NPI

Morton Comprehensive Health Services, Inc

  • Federally Qualified Health Center (FQHC)
  • Tulsa, OK
National Provider Identifier
1215922844
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
102 N Denver Ave
Tulsa, OK 74103-1820
Phone
(918) 582-8203
Fax
(918) 582-2773
NPI assigned
Sep 20, 2005
Organization subpart
Yes
Parent organization
MORTON COMPREHENSIVE HEALTH SERVICES INCAs reported in NPPES

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 OK Primary

Addresses

Primary practice location

102 N Denver Ave
Tulsa, OK 74103-1820

Mailing address

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

Other identifiers 4

IdentifierTypeStateIssuer
100248650CMedicaidOK
1215922844OtherOKNPI
371805OtherOKMEDICARE PART A
1275528085OtherOKMORTON MAIN CLINIC NPI NUMBER

Other names 1

  • Morton Midtown Clinic (Homeless Clinic) 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
O20170110000708 OK Part A Provider - Federally Qualified Health Center (FQHC) 1951297621 Practice locations: Tulsa, OK

Federally qualified health center certification: CCN 371805

Legal name
MORTON COMPREHENSIVE HEALTH SERVICES INC
Doing business as
MORTON HOMELESS CLINIC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 1, 1991
Last certification
Oct 1, 1991
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Mar 16, 1983 in OK
Enrollment address
102 N Denver Ave
Tulsa, OK 74103-1806

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
37D2051352Morton Comprehensive Health Services, Midtown102 N Denver, Tulsa, OK 74103Provider-performed microscopyDec 17, 2026

National Provider Directory

National Provider Directory
Tax ID family
Morton Comp Health SVCS10 organizations share this tax ID, including this one
Part of
Morton Comp Health SVCS

Other organizations with this tax ID 9

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

Ownership & related parties

All disclosed owners & managing parties 7

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
Laura Ross-White Individual Corporate DirectorBoard Member Jan 1, 2015
Bradford Crow Individual Corporate DirectorBoard Member Jan 1, 2015
Mary S Savage Individual Corporate OfficerCeo Feb 1, 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
Operational/Managerial ControlDirector Quality 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 8

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

NPI Registry JSON

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563926400000",
    "number": "1215922844",
    "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": "918-582-2773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 N DENVER AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741031820",
            "telephone_number": "918-582-8203",
            "fax_number": "918-582-2773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORTON COMPREHENSIVE HEALTH SERVICES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MORTON COMPREHENSIVE HEALTH SERVICES INC",
        "enumeration_date": "2005-09-20",
        "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": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100248650C",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1215922844",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART A",
            "identifier": "371805",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MORTON MAIN CLINIC NPI NUMBER",
            "identifier": "1275528085",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Morton Midtown Clinic (Homeless Clinic)",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Morton Midtown Clinic (Homeless Clinic)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.