Provider Demographics
NPI:1194840389
Name:HOPE CENTER HEALTH CLINIC
Entity Type:Organization
Organization Name:HOPE CENTER HEALTH CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:BUDDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-348-4680
Mailing Address - Street 1:1251 N BROADWAY
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73034-3616
Mailing Address - Country:US
Mailing Address - Phone:405-348-4680
Mailing Address - Fax:405-348-9205
Practice Address - Street 1:1251 N BROADWAY
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73034-3616
Practice Address - Country:US
Practice Address - Phone:405-348-4680
Practice Address - Fax:405-348-9205
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health