White Eagle Health Center
LBN: White Eagle Health Center
White Eagle Health Center is an health care organization with primary practice located at 200 White Eagle Drive , Ponca City OK 74601. 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. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty.
White Eagle Health Center can be contacted via phone (580) 765-2501, or through Margerum, Deborah via phone (580) 765-2501.
Contact Information
Primary practice address
200 White Eagle Drive
Ponca City OK 74601
Phone: (580) 765-2501
Fax: (580) 765-0984
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | ||
| Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 332800000X |
Profile Details
| NPI number | 1891999157 |
|---|---|
| LBN Legal business name | White Eagle Health Center |
| DBA Doing business as | |
| Authorized official | Margerum, Deborah |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 12th, 2007 |
| Last updated | Jun 27th, 2024 - about 5 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 | 1891999157 | NPPES |
| Oklahoma | MEDICAID | 100700590B | |
| Oklahoma | Other | 3722938 |
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