Little Axe Health Center

LBN: Absentee Shawnee Tribal Health Authority, Inc.
Little Axe Health Center is an health care organization with primary practice located at 15951 Little Axe Drive , Norman OK 73026-9001. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Absentee Shawnee Tribal Health Authority, Inc. can be contacted via phone (405) 447-0300, or through Rogers, Mark E via phone (405) 447-0300.

Contact Information

Primary practice address
15951 Little Axe Drive Norman OK 73026-9001
Fax: (405) 701-7914
Website:
Authorized official contact:
Name: Rogers, Mark E MAL, FACHE, CMPE, CH

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1629227897
LBN Legal business name Absentee Shawnee Tribal Health Authority, Inc.
DBA Doing business as Little Axe Health Center
Authorized official Rogers, Mark E MAL, FACHE, CMPE, CH
Entity Organization
Organization subpart 1 No
Enumeration date Sep 12th, 2008
Last updated Dec 28th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629227897 NPPES
Oklahoma MEDICAID 100699860B
Oklahoma MEDICAID 100699860N
Oklahoma MEDICAID 100699860A

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