National Provider Identifier Database

CHOCTAW NATION OF OKLAHOMA PRINCIPAL CHIEF
Hospice Care, Community Based


Contact Information

CHOCTAW NATION OF OKLAHOMA-PRINCIPAL CHIEF
702 BRYAN DR
SUITE 200
DURANT, OK74701-7000
Phone: 580-931-3636
Fax: 580-931-9016
Website:
Specialty Taxonomy Code
* Hospice Care, Community Based 251G00000X

* Indicates primary specialty

NPI Profile & details for CHOCTAW NATION OF OKLAHOMA-PRINCIPAL CHIEF

NPI Number 1316900095
Legal business name
LBN
CHOCTAW NATION OF OKLAHOMA-PRINCIPAL CHIEF
Authorized official STEVEN HARRIS - (DIRECTOR/ADMINISTRATOR)
Entity Organization
Organization subpart No
Enumeration date 04/11/2006
Last updated 01/17/2024 - About 2 years ago
Sole proprietor1 Not specified
Identifiers
  • OK License #: HO4228
  • OK Other: 37D1043836 CLIA NUMBER
  • OK Other: HO4228 HOSPICE LICENSURE
  • OK Other: SW22676 SUBMITTER ID NUMBER

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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