CLINTON INDIAN HEALTH CENTER; NPI #1205923448

Contact Information

CLINTON INDIAN HEALTH CENTER

10321 N 2274 RD
CLINTON, OK 73601-7521

Phone: 580-331-3404
Fax: 580-331-3565
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Public Health, Federal	261QP0904X

Indicates primary specialty

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NPI Profile & details for CLINTON INDIAN HEALTH CENTER

NPI Number 1205923448

LBN Legal business name CLINTON INDIAN HEALTH CENTER

Authorized official JOE BRYANT - (AREA DIRECTOR)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 10/09/2006

Last updated 11/26/2019 - About 7 years ago

Identifiers

Medicaid

200119820A

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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