CHICKASAW NATION DIVISION OF HEALTH CHICKASAW NATION MEDICAL CENTER NPI 1790006112

NPI Information

NPI: 1790006112
Provider Name: CHICKASAW NATION DIVISION OF HEALTH CHICKASAW NATION MEDICAL CENTER

Doing Business As: CHICKASAW NATION MEDICAL CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
1921 STONECIPHER BLVD.
ADA, OK
ZIP 74820
Phone: (580) 421-4570
Get Directions

CHICKASAW NATION DIVISION OF HEALTH CHICKASAW NATION MEDICAL CENTER is an ambulatory surgical clinic center in Ada, OK. CHICKASAW NATION DIVISION OF HEALTH CHICKASAW NATION MEDICAL CENTER NPI is 1790006112. The provider is registered as an organization entity type.
The provider Is Doing Business As Chickasaw Nation Medical Center.

The provider's business location address is:

1921 STONECIPHER BLVD.
ADA, OK
ZIP 74820-439
Phone: (580) 421-4570
Fax: (580) 421-6283

The provider's authorized official is Kirbi Meeks .
The authorized official title is Contract Management Coordinator and has the following contact phone number (580) 421-4570.

The enumeration date for this NPI number is 6/21/2010 and was last updated on 8/20/2018.

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	261QA1903X	Clinic/Center	Ambulatory Surgical			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	370180	OTHER		MEDICARE #

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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