CREEK NATION HOSPITAL & CLINICS NPI 1265004667

NPI Information

  • NPI: 1265004667
  • Provider Name: CREEK NATION HOSPITAL & CLINICS
  • Classification: Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy - 332800000X
  • Entity Type: Organization
  • Doing Business As: COUNCIL OAK COMPREHENSIVE HEALTH PHARMACY
  • Address: 10109 E 79TH ST
    OUTPATIENT PHARMACY
    TULSA, OK
    ZIP 74133
  • Phone: (855) 771-4321

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NPI Details

CREEK NATION HOSPITAL & CLINICS is an indian health service tribal urban indian health i t u pharmacy in Tulsa, 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 & CLINICS NPI is 1265004667. The provider is registered as an organization entity type.
The provider Is Doing Business As Council Oak Comprehensive Health Pharmacy.

The provider's business location address is:

10109 E 79TH ST
OUTPATIENT PHARMACY
TULSA, OK
ZIP 74133
Phone: (855) 771-4321
Fax: (918) 756-2464

The provider's authorized official is Dusty Allen .
The authorized official title is Pharmacy Billing Manager and has the following contact phone number (918) 756-4233.

The enumeration date for this NPI number is 7/14/2021 and was last updated on 3/13/2024.

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
1332800000XIndian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacyYes
2332B00000XDurable Medical Equipment & Medical SuppliesNo
3333600000XPharmacyNo
43336C0003XPharmacyCommunity/Retail PharmacyNo
53336S0011XPharmacySpecialty PharmacyNo

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
1100699980KMEDICAIDOKLAHOMA

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: 3/30/2025

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