Choctaw Nation Health Clinic-Broken Bow
LBN: Choctaw Nation Of Oklahoma
Choctaw Nation Health Clinic-Broken Bow is an health care organization with primary practice located at 205 E 3Rd St , Broken Bow OK 74728-4119. The organization recently has 2 registered licenses in different health care specialties including 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.
Choctaw Nation Of Oklahoma can be contacted via phone (918) 567-7000, or through Jackson, Teresa Kay via phone (918) 567-7000.
Contact Information
Primary practice address
205 E 3Rd St
Broken Bow OK 74728-4119
Phone: (918) 567-7000
Fax: (918) 567-7041
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Public Health, Federal | 261QP0904X | ||
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X |
Profile Details
| NPI number | 1770559619 |
|---|---|
| LBN Legal business name | Choctaw Nation Of Oklahoma |
| DBA Doing business as | Choctaw Nation Health Clinic-Broken Bow |
| Authorized official | Jackson, Teresa Kay |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 28th, 2006 |
| Last updated | Jan 17th, 2024 - about 11 months 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 | 1770559619 | NPPES |
| Oklahoma | MEDICAID | 100699600I |
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