NPIMap

Organization Active NPI

Community Health Centers Inc.

Doing business as Mary Mahoney Memorial Health Center

  • Federally Qualified Health Center (FQHC)
  • Oklahoma City, OK
National Provider Identifier
1265415806
Registry record updated Sep 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
COMMUNITY HEALTH CENTERS INC.
Doing business as
Mary Mahoney Memorial Health Center
Practice address
12716 NE 36TH St
Oklahoma City, OK 73140-0000
Phone
(405) 769-3301
Fax
(405) 769-9685
NPI assigned
Nov 29, 2005
Last updated
Sep 25, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2026

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)CodeLicenseStatePrimary
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 names 1

  • Mary Mahoney Memorial Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
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

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1265415806. Details of each certification follow.

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
OtherNon-profit
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
CorporationNon-profit
Incorporated
Apr 6, 1972 in OK
Enrollment address
12716 NE 36TH St
Spencer, OK 73084-9167

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 7

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

Other NPIs on the same Medicare enrollment 3

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
37D0050504Mary Mahoney Memorial Health Center12716 NE 36TH Street, Spencer, OK 73084ComplianceJul 13, 2027

National Provider Directory

National Provider Directory

Locations

1901 Springlake Dr
#A
Oklahoma City, OK 73111
Phone (405) 521-8486

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.

NameRoleSinceShare
Isabella Lawson Individual Corporate OfficerChief Executive Officer Sep 1, 2016
Corporate DirectorChief Executive Officer Sep 1, 2016
W-2 Managing EmployeeChief Executive Officer Sep 1, 2016
Corporate DirectorMember Oct 1, 2016
W-2 Managing EmployeeCeo Oct 1, 2016 100%
Deborah Antoinette Guy Individual Corporate Director Jan 2, 2008
Dorothy May Smith Individual Corporate Director Jan 2, 2008
Myron Sylvester Coleman Individual Corporate Director Jan 2, 2008
Steven Dryer Individual Corporate Director Jan 2, 2008
Lester Thompson Individual Corporate Director Jan 2, 2008
Rochelle King Individual Corporate Director Jan 2, 2008
Vicki T Lampley Individual Corporate DirectorMember 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.

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Community Health Centers at Highland ParkOklahoma City, OK, CCN 371048 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.

Practitioners & affiliated clinicians

Practitioners 34

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 34

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": "1790294400000",
    "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": "2026-09-25",
        "certification_date": "2026-09-23",
        "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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mary Mahoney Memorial Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.