Choctaw Nation Health Clinic Atoka
LBN: Choctaw Nation Health Clinic Atoka
Choctaw Nation Health Clinic Atoka is an health care organization with primary practice located at 1201 W Liberty Rd , Atoka OK 74525-1639. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy. Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy is the primary health care specialty.
Choctaw Nation Health Clinic Atoka can be contacted via phone (918) 567-7000, or through Jackson, Teresa K via phone (918) 567-7000.
Contact Information
Primary practice address
1201 W Liberty Rd
Atoka OK 74525-1639
Phone: (918) 567-7000
Fax: (918) 567-7041
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | 57-5309 | Oklahoma |
| Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 332800000X | 575309 | Oklahoma |
Profile Details
| NPI number | 1972769701 |
|---|---|
| LBN Legal business name | Choctaw Nation Health Clinic Atoka |
| DBA Doing business as | Choctaw Nation Health Clinic Atoka |
| Authorized official | Jackson, Teresa K |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 31st, 2008 |
| Last updated | May 7th, 2013 - about 11 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 | 1972769701 | NPPES |
| Other | 3725326 | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| MEDICAID | 100244980A | NCPDP PROVIDER IDENTIFICATION NUMBER |
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