United Keetoowah Band Community Health Initiative, Llc

LBN: United Keetoowah Band Community Health Initiative, Llc
United Keetoowah Band Community Health Initiative, Llc is an health care organization with primary practice located at 2450 S Muskogee Ave , Tahlequah OK 74464-5450. The organization recently has only one registered license in Managed Care Organizations / Point of Service, which is considered as the primary health care specialty. United Keetoowah Band Community Health Initiative, Llc can be contacted via phone (918) 431-1818, or through Shade, Bryan Clark via phone (918) 431-1818.

Contact Information

Primary practice address
2450 S Muskogee Ave Tahlequah OK 74464-5450
Phone: (918) 431-1818
Fax: (918) 431-1873
Website:
Map and Directions
Authorized official contact:
Name: Shade, Bryan Clark MBA
Phone: (918) 431-1818

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Point of Service 305S00000X OK4140 Oklahoma

Profile Details

NPI number 1962752659
LBN Legal business name United Keetoowah Band Community Health Initiative, Llc
DBA Doing business as
Authorized official Shade, Bryan Clark MBA
Entity Organization
Organization subpart 1 No
Enumeration date Sep 11th, 2012
Last updated Sep 11th, 2012 - about 12 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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