Clinton Indian Health Center

LBN: Clinton Indian Health Center
Clinton Indian Health Center is an health care organization with primary practice located at 10321 N 2274 Rd , Clinton OK 73601-7521. The organization recently has only one registered license in Ambulatory Health Care Facilities / Public Health, Federal, which is considered as the primary health care specialty. Clinton Indian Health Center can be contacted via phone (580) 331-3404, or through Bryant, Joe via phone (580) 331-3315.

Contact Information

Primary practice address
10321 N 2274 Rd Clinton OK 73601-7521
Phone: (580) 331-3404
Fax: (580) 331-3565
Website:
Map and Directions
Authorized official contact:
Name: Bryant, Joe
Phone: (580) 331-3315

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Public Health, Federal 261QP0904X

Profile Details

NPI number 1205923448
LBN Legal business name Clinton Indian Health Center
DBA Doing business as Clinton Indian Health Center
Authorized official Bryant, Joe
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 9th, 2006
Last updated Nov 26th, 2019 - about 5 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 1205923448 NPPES
Oklahoma MEDICAID 200119820A

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