UNITED KEETOOWAH BAND COMMUNITY HEALTH INITIATIVE, LLC is a point of service in Tahlequah, OK. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. UNITED KEETOOWAH BAND COMMUNITY HEALTH INITIATIVE, LLC NPI is 1962752659. The provider is registered as an organization entity type.
The provider's business location address is:
2450 S MUSKOGEE AVE
TAHLEQUAH, OK
ZIP 74464-450
Phone: (918) 431-1818
Fax: (918) 431-1873
The provider's authorized official is Bryan Clark Shade .
The authorized official title is Executive Director and has the following contact phone number (918) 431-1818.
The enumeration date for this NPI number is 9/11/2012 and was last updated on 9/11/2012.