| Chickasaw Nation Division Of Health | |
|
1921 Stonecipher Blvd Ada OK 74820-3439 | |
| (580) 421-4570 | |
| (580) 421-6283 |
| Full Name | Chickasaw Nation Division Of Health |
|---|---|
| Speciality | Clinic/center |
| Location | 1921 Stonecipher Blvd, Ada, Oklahoma |
| Authorized Official Name and Position | Brenda Teel (BUSINESS OFFICE MANAGER) |
| Authorized Official Contact | 5804214570 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chickasaw Nation Division Of Health 1921 Stonecipher Blvd Ada OK 74820-3439 Ph: (580) 421-4570 | Chickasaw Nation Division Of Health 1921 Stonecipher Blvd Ada OK 74820-3439 Ph: (580) 421-4570 |
| NPI Number | 1598943706 |
|---|---|
| Provider Enumeration Date | 02/11/2008 |
| Last Update Date | 03/27/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598943706 | NPI | - | NPPES |
| 100747670A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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