Community Health Connection – Federally Qualified Health Center (FQHC), NPI 1194730911

Community Health Connection is a healthcare provider. based in Tulsa, Oklahoma. specializing in Federally Qualified Health Center (FQHC). The NPI Number for Community Health Connection is 1194730911

Main info

Organization
Name
Community Health Connection
NPI
1194730911
Phone
(918) 622-0641
Address
9912 E 21ST ST
Authorized Official
MS. TRACY R HISCOCK HR MANAGER
Enumeration Date
30 July 2006
Last Update Date
25 August 2011
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness80
Years active:19State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for Community Health Connection

  • East 21st Street, Tulsa, Tulsa County, Oklahoma, 74129, United States

    TULSA, OK 741291620

    Phone: (918) 622-0641

    Fax: (918) 622-4814

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-08-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20060831000413OFederally Qualified Health Center (Fqhc)OKTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 74129)

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Reviews

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Frequently asked questions

What is the registry number for Community Health Connection?
The registry entry for Community Health Connection shows NPI 1194730911.
Is Community Health Connection currently accepting referrals based on NPI status?
Registry metadata lists Community Health Connection as active.
What services align with Community Health Connection's listing?
Community Health Connection's public classification highlights Federally Qualified Health Center (FQHC). Clinical services aligned with this taxonomy classification.
What geographic area is tied to Community Health Connection?
Community Health Connection is associated with Tulsa, Oklahoma in the same public data insurers reference.
Why is information missing for Community Health Connection?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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