Choctaw Nation Rubin White Poteau Clinic Pharmacy

LBN: Choctaw Nation Of Oklahoma
Choctaw Nation Rubin White Poteau Clinic Pharmacy is an health care organization with primary practice located at 109 Kerr Ave , Poteau OK 74953-5270. 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
109 Kerr Ave Poteau OK 74953-5270
Phone: (918) 567-7096
Fax: (918) 567-7041
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Teresa K
Phone: (918) 567-7000

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X 19-3887 Oklahoma
Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X 19-5161 Oklahoma

Profile Details

NPI number 1851448526
LBN Legal business name Choctaw Nation Of Oklahoma
DBA Doing business as Choctaw Nation Rubin White Poteau Clinic Pharmacy
Authorized official Jackson, Teresa K
Entity Organization
Organization subpart 1 No
Enumeration date Jan 4th, 2007
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851448526 NPPES
Oklahoma MEDICAID 100244980B

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