DHHS US PUBLIC HEALTH SERVICE INDIAN HEALTH SERVICE; NPI #1700977808

Contact Information

DHHS US PUBLIC HEALTH SERVICE INDIAN HEALTH SERVICE

101S MOORE AVE
CLAREMORE, OK 74017-5047

Phone: 918-287-4491
Fax: 918-287-2347
Website:

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

Indicates primary specialty

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

NPI Number 1700977808

LBN Legal business name DHHS US PUBLIC HEALTH SERVICE INDIAN HEALTH SERVICE

Authorized official AMY EDEN - (BUSINESS OFFICE MANAGER)

Entity Organization

Organization subpart ¹ No

Enumeration date 09/27/2006

Last updated 08/31/2009 - About 17 years ago

Identifiers

OK	Medicaid	100689200D
OK	Other	100700620N	MEDICAID CAP
OK	Other	100231960F	MEDICAID RX

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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