CHOCTAW NATION OF OKLAHOMA NPI 1104344027

NPI Information

NPI: 1104344027
Provider Name: CHOCTAW NATION OF OKLAHOMA
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 37D0694294

Address:
1 CHOCTAW WAY
TALIHINA, OK
ZIP 74571
Phone: (918) 567-7000
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CHOCTAW NATION OF OKLAHOMA is an ambulatory surgical clinic center in Talihina, OK. CHOCTAW NATION OF OKLAHOMA NPI is 1104344027. The provider is registered as an organization entity type.

The provider's business location address is:

1 CHOCTAW WAY
TALIHINA, OK
ZIP 74571-022
Phone: (918) 567-7000

The provider's authorized official is Teresa Kay Jackson .
The authorized official title is Ceo and has the following contact phone number (918) 567-7000.

The CLIA number assigned to this NPI record is 37D0694294 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/30/2017 and was last updated on 1/16/2024.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP0904X	Clinic/Center	Public Health, Federal			No
2	261QA1903X	Clinic/Center	Ambulatory Surgical		OKLAHOMA	Yes

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: 5/5/2024

NPI Synchronization or Removal

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