Active NPI
Community Health Centers Inc.
- Federally Qualified Health Center (FQHC)
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- COMMUNITY HEALTH CENTERS INC.
- Practice address
- 12716 NE 36TH St
Oklahoma City, OK 73140-0000 - Phone
- (405) 769-3301
- Fax
- (405) 769-9685
- NPI assigned
- Nov 29, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Isabella Lawson, M.B.A.
- Title
- Chief Executive Officer
- Phone
- (405) 769-3301
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Primary |
Addresses
Primary practice location
12716 NE 36TH St
Oklahoma City, OK 73140-0000
Mailing address
PO Box 30589
Midwest City, OK 73140-3589
Phone (405) 769-3301
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100709120B | Medicaid | OK |
Other names 1
- Mary Mahoney Memorial Health Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20030501000035 | OK | Part A Provider - Federally Qualified Health Center (FQHC) | 4688584436 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Langston, OK |
| O20060914000328 | OK | Part B Supplier - Clinic/Group Practice | 4688584436 |
Receives reassigned benefits from 19 practitioners 2 other NPIs on this enrollment Practice locations: Spencer, OK; Shawnee, OK; Oklahoma City, OK; Midwest City, OK; Langston, OK; Carney, OK |
| O20100922000221 | OK | Part A Provider - Federally Qualified Health Center (FQHC) | 4688584436 | Practice locations: Spencer, OK |
Federally qualified health center certification: CCN 371835
- Legal name
- COMMUNITY HEALTH CENTERS, INC.
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Aug 8, 2003
- Last certification
- Aug 8, 2003
- Ownership / control type
- For profit – partnership
- Organization structure
- Other
- Incorporated
- May 10, 1971 in OK
- Enrollment address
- 300 N Martin Luther King
Langston, OK 73050 - Related CCNs
- 371801
Federally qualified health center certification: CCN 371801
- Legal name
- COMMUNITY HEALTH CENTERS, INC.
- Doing business as
- MARY MAHONEY MEMORIAL HEALTH CENTER
- 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 – partnership
- Organization structure
- Corporation
- Incorporated
- Apr 6, 1972 in OK
- Enrollment address
- 12716 NE 36TH St
Spencer, OK 73084-9167
Related certifications (CCN) 1
Facilities connected through Provider of Services related, parent or unit certification numbers.
-
- Federally Qualified Health Center (FQHC)
- Langston, OK
- NPI 1437133790
Related provider number
Other NPIs with the same Medicare PAC ID 7
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Federally Qualified Health Center (FQHC)
- Oklahoma City, OK
- NPI 1376725812
4688584436
-
- Federally Qualified Health Center (FQHC)
- Langston, OK
- NPI 1437133790
4688584436
-
- Federally Qualified Health Center (FQHC)
- Oklahoma City, OK
- NPI 1023091519
4688584436
-
- Community/Retail Pharmacy
- Oklahoma City, OK
- NPI 1588648703
4688584436
-
- Federally Qualified Health Center (FQHC)
- Oklahoma City, OK
- NPI 1679348908
4688584436
-
- Federally Qualified Health Center (FQHC)
- Carney, OK
- NPI 1699030528
4688584436
-
- Federally Qualified Health Center (FQHC)
- Shawnee, OK
- NPI 1851727754
4688584436
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Federally Qualified Health Center (FQHC)
- Langston, OK
- NPI 1437133790
O20030501000035
-
- Federally Qualified Health Center (FQHC)
- Midwest City, OK
- NPI 1619820511
O20060914000328
-
- Federally Qualified Health Center (FQHC)
- Oklahoma City, OK
- NPI 1679348908
O20060914000328
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 37D0050504 | Mary Mahoney Memorial Health Center | Compliance | Jul 13, 2027 |
National Provider Directory
National Provider DirectoryLocations
5301 S Dimple Dr
Oklahoma City, OK 73135
Phone (405) 674-0028
1901 Springlake Dr
#A
Oklahoma City, OK 73111
Phone (405) 521-8486
1414 N Kennedy Ave
Shawnee, OK 74801
Phone (405) 275-3391
Ownership & related parties
All disclosed owners & managing parties 8
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Isabella Lawson | Corporate Officer | Sep 1, 2016 | |
| Corporate Director | Sep 1, 2016 | ||
| W-2 Managing Employee | Sep 1, 2016 | ||
| Corporate Director | Oct 1, 2016 | ||
| W-2 Managing Employee | Oct 1, 2016 | 100% | |
| Deborah Antoinette Guy | Corporate Director | Jan 2, 2008 | |
| Dorothy May Smith | Corporate Director | Jan 2, 2008 | |
| Myron Sylvester Coleman | Corporate Director | Jan 2, 2008 | |
| Steven Dryer | Corporate Director | Jan 2, 2008 | |
| Lester Thompson | Corporate Director | Jan 2, 2008 | |
| Rochelle King | Corporate Director | Jan 2, 2008 | |
| Vicki T Lampley | Corporate Director | Jul 1, 2010 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Geriatric Medicine (Internal Medicine) Physician
- Oklahoma City, OK
- NPI 1841267036
Corporate Director
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Community Health Centers at Highland Park | Federally qualified health center | Operational/Managerial Control | May 7, 2024 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Federally Qualified Health Center (FQHC)
- Oklahoma City, OK
- NPI 1679348908
Operational/Managerial Control
Practitioners & affiliated clinicians
Practitioners 34
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": "1133222400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1782691200000",
"number": "1265415806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 30589",
"city": "MIDWEST CITY",
"state": "OK",
"postal_code": "731403589",
"telephone_number": "405-769-3301",
"fax_number": "405-769-9685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12716 NE 36TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731400000",
"telephone_number": "405-769-3301",
"fax_number": "405-769-9685"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNITY HEALTH CENTERS INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-29",
"last_updated": "2026-06-29",
"certification_date": "2026-06-29",
"status": "A",
"authorized_official_last_name": "LAWSON",
"authorized_official_first_name": "ISABELLA",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "405-769-3301",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "M.B.A."
},
"taxonomies": [
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100709120B",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Mary Mahoney Memorial Health Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Oklahoma City, OK
- Community Counseling
- Community Couseling Center, Inc.
- Community Diagnostic Center of Oklahoma
- Community Family Care LLC
- Community Health Centers at Red Rock
- Community Health Centers Inc.
- Community Health Centers, Inc.
- Community Health Centers, Inc.
- Community Health Centers, Inc.
- Community Health Centers, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.