Absentee Shawnee Tribal Health System - Shawnee Clinic
LBN: Absentee Shawnee Tribal Health Authority, Inc.
Absentee Shawnee Tribal Health System - Shawnee Clinic is an health care organization with primary practice located at 2029 S Gordon Cooper Drive , Shawnee OK 74801. The organization recently has only one registered license in Ambulatory Health Care Facilities / Multi-Specialty, which is considered as the primary health care specialty.
Absentee Shawnee Tribal Health Authority, Inc. can be contacted via phone (405) 878-5850, or through Rogers, Mark via phone (405) 447-0300.
Contact Information
Primary practice address
2029 S Gordon Cooper Drive
Shawnee OK 74801
Phone: (405) 878-5850
Fax: (405) 214-4227
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Multi-Specialty | 261QM1300X | Oklahoma |
Profile Details
| NPI number | 1942253521 |
|---|---|
| LBN Legal business name | Absentee Shawnee Tribal Health Authority, Inc. |
| DBA Doing business as | Absentee Shawnee Tribal Health System - Shawnee Clinic |
| Authorized official | Rogers, Mark MAL, FACHE, CMPE, CH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 18th, 2006 |
| Last updated | Mar 16th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942253521 | NPPES |
| Oklahoma | MEDICAID | 100699860K | |
| Oklahoma | MEDICAID | 100699860J |
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