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Contact Information

ABSENTEE SHAWNEE TRIBAL HEALTH AUTHORITY, INC.
15951 LITTLE AXE DRIVE
NORMAN, OK73026-9001
 Phone: 405-447-0300
 Fax: 405-701-7914
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for ABSENTEE SHAWNEE TRIBAL HEALTH AUTHORITY, INC.

NPI Number 1629227897
LBN Legal business name ABSENTEE SHAWNEE TRIBAL HEALTH AUTHORITY, INC.
Authorized official MARTY LOFGREN - (MEDICAL DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 09/12/2008
Last updated 10/27/2025 - About 7 months ago
Identifiers
OK Medicaid 100699860A
OK Medicaid 100699860B
OK Medicaid 100699860N
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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