Choctaw Nation Health Care Clinic-poteau | |
109 Kerr Ave Poteau OK 74953-5231 | |
(918) 567-7000 | |
(918) 567-7041 |
Full Name | Choctaw Nation Health Care Clinic-poteau |
---|---|
Speciality | Clinic/center - Primary Care |
Location | 109 Kerr Ave, Poteau, Oklahoma |
Authorized Official Name and Position | Teresa Kay Jackson (ADMINISTRATOR) |
Authorized Official Contact | 9185677000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Choctaw Nation Health Care Clinic-poteau 1 Choctaw Way Talihina OK 74571-2022 Ph: (918) 567-7000 | Choctaw Nation Health Care Clinic-poteau 109 Kerr Ave Poteau OK 74953-5231 Ph: (918) 567-7000 |
NPI Number | 1710953799 |
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Provider Enumeration Date | 02/28/2006 |
Last Update Date | 01/17/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710953799 | NPI | - | NPPES |
100699600G | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP0904X | Clinic/center - Public Health, Federal | (* (Not Available)) | Secondary |
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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