| NPI | 1255612040 | 
|---|---|
| Doing Business As | COMMUNITY HEALTH CONNECTION KW | 
| Entity Type | Organization | 
| Authorized Contact | JEFF FAUST Hr Manager 918-622-0641  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) | 
| Enumeration Date | 2011-09-07 | 
| Last Update Date | 2016-09-20 |