Purcell Indian Health Clinic
LBN: Chickasaw Nation Division Of Health
Purcell Indian Health Clinic is an health care organization with primary practice located at 1438 Hardcastle Blvd , Purcell OK 73080-8233. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy, Suppliers / Pharmacy. Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy is the primary health care specialty.
Chickasaw Nation Division Of Health can be contacted via phone (580) 272-5710, or through Williams, Zach via phone (580) 436-3980.
Contact Information
Primary practice address
1438 Hardcastle Blvd
Purcell OK 73080-8233
Phone: (580) 272-5710
Fax: (580) 272-5711
Website:
Authorized official contact:
Name: Williams, Zach Doctor of Public Health (DPH)
Phone: (580) 436-3980
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 332800000X | 474906 | Oklahoma |
| Suppliers / Pharmacy | 333600000X |
Profile Details
| NPI number | 1396860003 |
|---|---|
| LBN Legal business name | Chickasaw Nation Division Of Health |
| DBA Doing business as | Purcell Indian Health Clinic |
| Authorized official | Williams, Zach Doctor of Public Health (DPH) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 20th, 2007 |
| Last updated | Feb 15th, 2017 - about 7 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 | 1396860003 | NPPES |
| Other | 2076971 | PK | |
| MEDICAID | 100689860C | PK |
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