NPIMap

Organization Active NPI

Morton Comprehensive Health Services, Inc

  • Federally Qualified Health Center (FQHC)
  • Tulsa, OK
National Provider Identifier
1275528085
Registry record updated Aug 24, 2023
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
1334 N Lansing Ave
Tulsa, OK 74106-5907
Phone
(918) 587-2171
Fax
(918) 587-2171
NPI assigned
Sep 19, 2005
Last updated
Aug 24, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

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

Authorized official

Name
Lois Phillips
Title
Director Quality
Phone
(918) 295-6104

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU
Obstetrics & Gynecology Physician 207V00000X NU
Pediatrics Physician 208000000X NU
Dental Clinic/Center 261QD0000X NU
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

1334 N Lansing Ave
Tulsa, OK 74106-5907

Mailing address

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

Other identifiers 4

IdentifierTypeStateIssuer
1275528085OtherOKNPI
100768880IMedicaidOK
WCDPGOtherOKMEDICARE
J23117858MedicaidOK

Medicare participation

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

Enrollment records 3

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
Practice locations: Nowata, OK; Tulsa, OK; Bartlesville, OK
O20061017000254 OK Part A Provider - Federally Qualified Health Center (FQHC) 1951297621 Practice locations: Tulsa, OK
O20250630002348 OK Part A Provider - Federally Qualified Health Center (FQHC) 1951297621 1 other NPI on this enrollment
Practice locations: Tulsa, OK

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1275528085. Details of each certification follow.

Federally qualified health center certification: CCN 371803

Legal name
MORTON COMPREHENSIVE HEALTH SERVICES INC
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
1334 N Lansing Ave
Tulsa, OK 74106-5907

Federally qualified health center certification: CCN 371052

Legal name
MORTON COMPREHENSIVE HEALTH SERVICES INC
Doing business as
MORTON COMPREHENSIVE HEALTH SERVICES
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
May 28, 2025
Last certification
May 28, 2025
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
240 E Apache St
Tulsa, OK 74106-3702

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

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.

National Provider Directory

National Provider Directory

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
Bruce Dart Individual Corporate DirectorBoard Member Jan 1, 2015
Laura Ross-White Individual Corporate DirectorSecretary Board of Directors Jan 1, 2015
Glenda F Love-Williams Individual Corporate DirectorBoard of Directors Oct 1, 2021
Bradford Crow Individual Corporate DirectorBoard Member Jan 1, 2015
Mary S Savage Individual Corporate OfficerChief Executive Officer Feb 1, 2016 100%
5% Or Greater Indirect Ownership InterestChief Executive Officer Feb 1, 2016 100%
Lauren Oldham Individual Corporate DirectorBoard of Directors Mar 1, 2018
Lois Phillips Individual W-2 Managing Employee Sep 16, 2016
Operational/Managerial Control Sep 16, 2016
Operational/Managerial ControlCompliance Director Sep 16, 2016
Jimmy Rodriguez Quiroz Individual Corporate DirectorBoard of Directors Oct 1, 2021
Ed Thomas Individual Corporate DirectorBoard Member Jan 1, 2011
Teresa Baker Individual Corporate DirectorBoard Member Jan 1, 2015
Philip Hixon Individual Corporate DirectorBoard of Directors Oct 1, 2018
Johnnetta Johnson Individual Corporate DirectorChair - Board of Directors Nov 1, 2017
Excell Lafayette Individual Corporate DirectorBoard of Directors Oct 1, 2018

Practitioners & affiliated clinicians

Practitioners 46

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 46

NPI Registry JSON

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692835200000",
    "number": "1275528085",
    "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": "918-587-2171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1334 N LANSING AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741065907",
            "telephone_number": "918-587-2171",
            "fax_number": "918-587-2171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORTON COMPREHENSIVE HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-19",
        "last_updated": "2023-08-24",
        "certification_date": "2021-01-07",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "LOIS",
        "authorized_official_title_or_position": "DIRECTOR QUALITY",
        "authorized_official_telephone_number": "918-295-6104"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1275528085",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100768880I",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "WCDPG",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "J23117858",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.