National Provider Identifier Database

CLINTON INDIAN HEALTH CENTER
Public Health, Federal


Contact Information

CLINTON INDIAN HEALTH CENTER
10321 N 2274 RD
CLINTON, OK73601-7521
Phone: 580-331-3404
Fax: 580-331-3565
Website:
Specialty Taxonomy Code
* Public Health, Federal 261QP0904X

* Indicates primary specialty

NPI Profile & details for CLINTON INDIAN HEALTH CENTER

NPI Number 1205923448
Legal business name
LBN
CLINTON INDIAN HEALTH CENTER
Authorized official JOE BRYANT - (AREA DIRECTOR)
Entity Organization
Organization subpart Yes
Enumeration date 10/09/2006
Last updated 11/26/2019 - About 7 years ago
Sole proprietor1 Not specified
Identifiers
  • OK Medicaid: 200119820A

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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