Oklahoma City Indian Clinic
LBN: Central Oklahoma American Indian Health Council, Inc.
Oklahoma City Indian Clinic is an health care organization with primary practice located at 4913 W Reno Ave , Oklahoma City OK 73127-6339. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty.
Central Oklahoma American Indian Health Council, Inc. can be contacted via phone (405) 948-4900, or through Parker, Robin L via phone (405) 948-4900.
Contact Information
Primary practice address
4913 W Reno Ave
Oklahoma City OK 73127-6339
Phone: (405) 948-4900
Fax: (405) 948-4933
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | ||
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X |
Profile Details
| NPI number | 1407969728 |
|---|---|
| LBN Legal business name | Central Oklahoma American Indian Health Council, Inc. |
| DBA Doing business as | Oklahoma City Indian Clinic |
| Authorized official | Parker, Robin L |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 17th, 2006 |
| Last updated | Apr 21st, 2021 - about 3 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 | 1407969728 | NPPES |
| Oklahoma | MEDICAID | 100731010E | |
| Oklahoma | MEDICAID | 100731010A |
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