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EL RENO INDIAN HEALTH CENTER NPI 1386725604


NPI Information

NPI: 1386725604
Provider Name: EL RENO INDIAN HEALTH CENTER

Doing Business As: EL RENO INDIAN HEALTH CENTER

Classification: Public Health or Welfare - 251K00000X
Entity Type: Organization

CLIA Number: 37D0667757

Address:
1631 A EAST HWY 66
EL RENO, OK
ZIP 73036
Phone: (405) 262-7631
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EL RENO INDIAN HEALTH CENTER is a public health or welfare in El Reno, OK. EL RENO INDIAN HEALTH CENTER NPI is 1386725604. The provider is registered as an organization entity type.
The provider Is Doing Business As El Reno Indian Health Center.

The provider's business location address is:

1631 A EAST HWY 66
EL RENO, OK
ZIP 73036
Phone: (405) 262-7631
Fax: (405) 262-8099

The provider's authorized official is Joe Bryant .
The authorized official title is Chief Executive Officer and has the following contact phone number (580) 331-3315.

The CLIA number assigned to this NPI record is 37D0667757 - federally qualified health center with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 10/17/2006 and was last updated on 11/26/2019.


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
1251K00000XPublic Health or WelfareYes

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
1200119840AMEDICAIDOKLAHOMA

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: 4/28/2024

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