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CREEK NATION HOSPITAL AND CLINICS BOARD NPI 1033229992


NPI Information

NPI: 1033229992
Provider Name: CREEK NATION HOSPITAL AND CLINICS BOARD

Doing Business As: OKEMAH COMMUNITY CLINIC

Classification: Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy - 332800000X
Entity Type: Organization
Address:
1800 E COPLIN ST
OKEMAH, OK
ZIP 74859
Phone: (918) 623-1424
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CREEK NATION HOSPITAL AND CLINICS BOARD is an indian health service tribal urban indian health i t u pharmacy in Okemah, OK. The provider is an Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603. CREEK NATION HOSPITAL AND CLINICS BOARD NPI is 1033229992. The provider is registered as an organization entity type.
The provider Is Doing Business As Okemah Community Clinic.

The provider's business location address is:

1800 E COPLIN ST
OKEMAH, OK
ZIP 74859-642
Phone: (918) 623-1424
Fax: (918) 756-2464

The provider's authorized official is Dusty Allen .
The authorized official title is PHARMACY BILLING AND CONTRACT MGRMgr and has the following contact phone number (918) 756-9909.

The enumeration date for this NPI number is 8/30/2006 and was last updated on 1/25/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyNo
23336S0011XPharmacySpecialty PharmacyNo
3332800000XIndian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy51-4259OKLAHOMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12076068OTHERPK
2100730400BMEDICAIDOKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.