Active NPI
Coordinated Care Health Solutions, LLC
- Clinical Medical Laboratory
- Oklahoma City, OK
National Provider Identifier
1871960195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 1871960195
- Legal business name
- COORDINATED CARE HEALTH SOLUTIONS, LLC
- Practice address
- 10120 Broadway Ext Ste 220
Oklahoma City, OK 73114-6300 - Phone
- (405) 605-0720
- Fax
- (405) 463-0120
- NPI assigned
- Aug 24, 2015
- 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
- Hunter Joe Hogan III, DPH
- Title
- Operations Manager
- Phone
- (405) 418-2929
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 1871960195 | OK | Primary |
Addresses
Primary practice location
10120 Broadway Ext Ste 220
Oklahoma City, OK 73114-6300
Mailing address
PO Box 108835
Oklahoma City, OK 73101-8835
Phone (405) 605-0720
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871960195 | Medicaid | MO | |
| 1871960195 | Other | NPI | |
| 10026596800 | Medicaid | NE | |
| 200622830 A | Medicaid | OK | |
| 212247709 | Medicaid | AR | |
| 367240401 | Medicaid | TX | |
| 37D2093763 | Other | OK | CLIA |
| 26303 | Other | COLA |
Other names 1
- CCHS Labs
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160113002142 | OK | Part B Supplier - Independent Clinical Laboratory | 7911209564 | Practice locations: Oklahoma City, OK |
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 |
|---|---|---|---|
| 37D2093763 | Coordinated Care Health Solutions, LLC | Accreditation | Apr 12, 2028 |
National Provider Directory
National Provider DirectoryLocations
8528 SW 74th St
Oklahoma City, OK 73169
10120 Broadway Ext
Ste 220
Oklahoma City, OK 73114
Phone (405) 605-0720
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440374400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1760659200000",
"number": "1871960195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 108835",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731018835",
"telephone_number": "405-605-0720",
"fax_number": "405-730-8047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10120 BROADWAY EXT STE 220",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731146300",
"telephone_number": "405-605-0720",
"fax_number": "405-463-0120"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COORDINATED CARE HEALTH SOLUTIONS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-08-24",
"last_updated": "2025-10-17",
"certification_date": "2025-10-17",
"status": "A",
"authorized_official_last_name": "HOGAN",
"authorized_official_first_name": "HUNTER",
"authorized_official_middle_name": "JOE",
"authorized_official_title_or_position": "OPERATIONS MANAGER",
"authorized_official_telephone_number": "405-418-2929",
"authorized_official_name_suffix": "III",
"authorized_official_credential": "DPH"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "OK",
"license": "1871960195",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1871960195",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1871960195",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10026596800",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200622830 A",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "212247709",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "367240401",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA",
"identifier": "37D2093763",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COLA",
"identifier": "26303",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CCHS Labs",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.