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INDIAN HEALTH CARE RESOURCE CENTER NPI 1427034958


NPI Information

NPI: 1427034958
Provider Name: INDIAN HEALTH CARE RESOURCE CENTER

Other Name: INDIAN HEALTH CARE RESOURCE CENTER OF TULSA, INC.

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 37D0474061

Address:
550 SOUTH PEORIA AVE
TULSA, OK
ZIP 74120
Phone: (918) 588-1900
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INDIAN HEALTH CARE RESOURCE CENTER is a clinic center in Tulsa, OK. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). INDIAN HEALTH CARE RESOURCE CENTER NPI is 1427034958. The provider is registered as an organization entity type.
The provider Other Name Is Indian Health Care Resource Center Of Tulsa, Inc..

The provider's business location address is:

550 SOUTH PEORIA AVE
TULSA, OK
ZIP 74120-820
Phone: (918) 588-1900
Fax: (918) 582-8552

The provider's authorized official is Deanna E Holman .
The authorized official title is Chief Financial Officer and has the following contact phone number (918) 588-1900.

The CLIA number assigned to this NPI record is 37D0474061 - other with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 12/16/2005 and was last updated on 4/25/2024.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/CenterYes
2261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)371806OKLAHOMANo

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
137-1806OTHEROKLAHOMAFQHC MEDICARE ID/NUMBER
2100732910AMEDICAIDOKLAHOMA

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

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.