Chickasaw Nation Tishomingo Clinic

LBN: Chickasaw Nation Division Of Health Chickasaw Nation Medical Center
Chickasaw Nation Tishomingo Clinic is an health care organization with primary practice located at 817 E 6Th St , Tishomingo OK 73460-1800. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Public Health, Federal, Ambulatory Health Care Facilities / Primary Care. Ambulatory Health Care Facilities / Primary Care is the primary health care specialty. Chickasaw Nation Division Of Health Chickasaw Nation Medical Center can be contacted via phone (580) 371-2392, or through Carpenter, Denise via phone (580) 421-4570.

Contact Information

Primary practice address
817 E 6Th St Tishomingo OK 73460-1800
Phone: (580) 371-2392
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Carpenter, Denise
Phone: (580) 421-4570

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Ambulatory Health Care Facilities / Public Health, Federal 261QP0904X
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1649330242
LBN Legal business name Chickasaw Nation Division Of Health Chickasaw Nation Medical Center
DBA Doing business as Chickasaw Nation Tishomingo Clinic
Authorized official Carpenter, Denise
Entity Organization
Organization subpart 1 No
Enumeration date Dec 12th, 2006
Last updated Jun 12th, 2024 - about last year

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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