National Provider Identifier Database

DHHS US PUBLIC HEALTH SERVICE INDIAN HEALTH SERVICE
Public Health, Federal


Contact Information

DHHS US PUBLIC HEALTH SERVICE INDIAN HEALTH SERVICE
101S MOORE AVE
CLAREMORE, OK74017-5047
Phone: 918-287-4491
Fax: 918-287-2347
Website:
Specialty Taxonomy Code
* Public Health, Federal 261QP0904X

* Indicates primary specialty

NPI Profile & details for DHHS US PUBLIC HEALTH SERVICE INDIAN HEALTH SERVICE

NPI Number 1700977808
Legal business name
LBN
DHHS US PUBLIC HEALTH SERVICE INDIAN HEALTH SERVICE
Authorized official AMY EDEN - (BUSINESS OFFICE MANAGER)
Entity Organization
Organization subpart No
Enumeration date 09/27/2006
Last updated 08/31/2009 - About 17 years ago
Sole proprietor1 Not specified
Identifiers
  • OK Medicaid: 100689200D
  • OK Other: 100700620N MEDICAID CAP
  • OK Other: 100231960F MEDICAID RX

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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