CHOCTAW NATION OF OKLAHOMA; NPI #1770559619

Contact Information

CHOCTAW NATION OF OKLAHOMA

205 E 3RD ST
BROKEN BOW, OK 74728-4119

Phone: 918-567-7000
Fax: 918-567-7041
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Primary Care	261QP2300X
Public Health, Federal	261QP0904X

Indicates primary specialty

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NPI Profile & details for CHOCTAW NATION OF OKLAHOMA

NPI Number 1770559619

LBN Legal business name CHOCTAW NATION OF OKLAHOMA

Authorized official TERESA JACKSON - (ADMINISTRATOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 02/28/2006

Last updated 01/17/2024 - About 2 years ago

Identifiers

Medicaid

100699600I

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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