CHOCTAW NATION OF OKLAHOMA NPI 1174599088

NPI Information

NPI: 1174599088
Provider Name: CHOCTAW NATION OF OKLAHOMA

Doing Business As: CHOCTAW NATION HEALTH CLINIC-HUGO

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
410 NORTH M
HUGO, OK
ZIP 74743
Phone: (918) 567-7000
Get Directions

CHOCTAW NATION OF OKLAHOMA is a primary care clinic center in Hugo, OK. CHOCTAW NATION OF OKLAHOMA NPI is 1174599088. The provider is registered as an organization entity type.
The provider Is Doing Business As Choctaw Nation Health Clinic-hugo.

The provider's business location address is:

410 NORTH M
HUGO, OK
ZIP 74743
Phone: (918) 567-7000
Fax: (918) 567-7041

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

The CLIA number assigned to this NPI record is 37D2139792 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 2/28/2006 and was last updated on 1/11/2024.

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	261QP2300X	Clinic/Center	Primary Care			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	100699600J	MEDICAID	OKLAHOMA

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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