Choctaw Nation Health Clinic-Idabel Rx
LBN: Choctaw Nation Of Oklahoma
Choctaw Nation Health Clinic-Idabel Rx is an health care organization with primary practice located at 902 E Lincoln Rd , Idabel OK 74745-7337. 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 Of Oklahoma can be contacted via phone (918) 567-7096, or through Jackson, Teresa K via phone (918) 567-7000.
Contact Information
Primary practice address
902 E Lincoln Rd
Idabel OK 74745-7337
Phone: (918) 567-7096
Fax: (918) 567-7041
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | 255013 | Oklahoma |
| Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 332800000X | 255013 | Oklahoma |
Profile Details
| NPI number | 1790833564 |
|---|---|
| LBN Legal business name | Choctaw Nation Of Oklahoma |
| DBA Doing business as | Choctaw Nation Health Clinic-Idabel Rx |
| Authorized official | Jackson, Teresa K |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 8th, 2007 |
| Last updated | Apr 17th, 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 | 1790833564 | NPPES |
| Other | 3724285 | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| MEDICAID | 100244980F | NCPDP PROVIDER IDENTIFICATION NUMBER |
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