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COMMUNITY HEALTH CENTER OF NORTHEAST OKLAHOMA, INC.
NPI 1114519774
Clinic/Center - Federally Qualified Health Center (FQHC) in Jay, OK

Active since February 05, 2021CLIA 37D2073020 · Waiver
2485 N. MAIN ST., JAY, OK 74346(918) 253-2550(918) 253-2122 Get Directions Write a Review

NPPES record last updated: February 5, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Community Health Center Of Northeast Oklahoma, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COMMUNITY HEALTH CENTER OF NORTHEAST OKLAHOMA, INC. (NPI 1114519774), doing business as Chcneo Jay Family Medicine Clinic, is a healthcare organization registered as a federally qualified health center (fqhc) in Jay, Oklahoma and active in the NPI registry since February 2021. The organization holds a CLIA Waiver certificate valid through February 9, 2028 and lists Janet Mendez, Ceo, as its authorized official.

NPPES Registry Identity

NPI1114519774
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameCOMMUNITY HEALTH CENTER OF NORTHEAST OKLAHOMA, INC.
Location Address2485 N. MAIN ST.Jay, OK 74346
Mailing AddressP.o. Box 705Afton, OK 74331-0705 · (918) 257-8029 · Fax (918) 257-8042
Phone(918) 253-2550
Fax(918) 253-2122
Organization SubpartYes
Authorized OfficialJanet MendezCeo · (918) 257-8029
Enumeration DateFebruary 5, 2021
NPPES CertifiedFebruary 5, 2021
✔ NPI 1114519774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
2485 N. MAIN ST., Jay, OK 74346
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Other Names 1

Doing Business AsChcneo Jay Family Medicine Clinic

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 37D2073020

Community Health Center Of Northeast Oklahoma · Afton, OK
Active · expires Feb 9, 2028
CLIA Number37D2073020
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateFebruary 10, 2026
Certificate Expiration DateFebruary 9, 2028
Laboratory DirectorRichard H. Tidwell
Laboratory Phone(918) 257-8029
Laboratory LocationCommunity Health Center Of Northeast Oklahoma21965 Bison Dr, Afton, OK 74331
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Community Health Center Of Northeast Oklahoma, Inc.'s NPI number?

The NPI number for Community Health Center Of Northeast Oklahoma, Inc. is 1114519774. It was assigned to this organization in the NPPES registry on February 5, 2021. The provider is doing business as CHCNEO Jay Family Medicine Clinic.

Where is Community Health Center Of Northeast Oklahoma, Inc. located?

Community Health Center Of Northeast Oklahoma, Inc. is located at 2485 N. Main St., Jay, OK 74346. The listed phone number is (918) 253-2550.

What is Community Health Center Of Northeast Oklahoma, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Community Health Center Of Northeast Oklahoma, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D2073020) is associated with this NPI, valid through February 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Community Health Center Of Northeast Oklahoma, Inc. accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Community Health Center Of Northeast Oklahoma, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Community Health Center Of Northeast Oklahoma, Inc. was last updated on February 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.