| Choctaw Nation Health Clinic Atoka | |
|
1201 W Liberty Rd Atoka OK 74525-1639 | |
| (918) 567-7000 | |
| (918) 567-7041 |
| Full Name | Choctaw Nation Health Clinic Atoka |
|---|---|
| Speciality | Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy |
| Location | 1201 W Liberty Rd, Atoka, Oklahoma |
| Authorized Official Name and Position | Teresa K 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 Clinic Atoka 1201 W Liberty Rd Atoka OK 74525-1639 Ph: (918) 567-7000 | Choctaw Nation Health Clinic Atoka 1201 W Liberty Rd Atoka OK 74525-1639 Ph: (918) 567-7000 |
| NPI Number | 1972769701 |
|---|---|
| Provider Enumeration Date | 07/31/2008 |
| Last Update Date | 05/07/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972769701 | NPI | - | NPPES |
| 3725326 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| 100244980A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 57-5309 (Oklahoma) | Secondary |
| 332800000X | Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy | 575309 (Oklahoma) | Primary |
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