Organization Active NPI

Coordinated Care Health Solutions, LLC

  • Clinical Medical Laboratory
  • Oklahoma City, OK
National Provider Identifier
1871960195
Registry record updated Oct 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
1871960195 Issued in OK
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

Updated by the provider on Oct 17, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1871960195MedicaidMO
1871960195OtherNPI
10026596800MedicaidNE
200622830 AMedicaidOK
212247709MedicaidAR
367240401MedicaidTX
37D2093763OtherOKCLIA
26303OtherCOLA

Other names 1

  • CCHS Labs Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160113002142 OK Part B Supplier - Independent Clinical Laboratory 7911209564 Practice locations: Oklahoma City, OK

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
37D2093763Coordinated Care Health Solutions, LLC10120 N Broadway Ext, Ste 220, Oklahoma City, OK 73114AccreditationApr 12, 2028

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.