Sam Hider Health Center Rx

LBN: Cherokee Nation
Sam Hider Health Center Rx is an health care organization with primary practice located at 859 E. Melton Drive , Jay OK 74346. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy, Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy is the primary health care specialty. Cherokee Nation can be contacted via phone (918) 253-1780, or through Graham, Michelle via phone (539) 234-1977.

Contact Information

Primary practice address
859 E. Melton Drive Jay OK 74346
Phone: (918) 253-1780
Fax: (918) 253-3812
Website:
Map and Directions
Authorized official contact:
Name: Graham, Michelle MHA
Phone: (539) 234-1977

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X 45-7549 Oklahoma
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1417090820
LBN Legal business name Cherokee Nation
DBA Doing business as Sam Hider Health Center Rx
Authorized official Graham, Michelle MHA
Entity Organization
Organization subpart 1 No
Enumeration date Feb 15th, 2007
Last updated Nov 15th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417090820 NPPES
Other 2074921 PK
MEDICAID 100239190H PK

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