Choctaw Nation Health Clinic-idabel Rx | |
902 E Lincoln Rd Idabel OK 74745-7337 | |
(918) 567-7096 | |
(918) 567-7041 |
Full Name | Choctaw Nation Health Clinic-idabel Rx |
---|---|
Speciality | Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy |
Location | 902 E Lincoln Rd, Idabel, 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-idabel Rx 902 E Lincoln Rd Idabel OK 74745-7337 Ph: (918) 567-7096 | Choctaw Nation Health Clinic-idabel Rx 902 E Lincoln Rd Idabel OK 74745-7337 Ph: (918) 567-7096 |
NPI Number | 1790833564 |
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Provider Enumeration Date | 01/08/2007 |
Last Update Date | 04/17/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790833564 | NPI | - | NPPES |
3724285 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER | |
100244980F | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 255013 (Oklahoma) | Secondary |
332800000X | Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy | 255013 (Oklahoma) | Primary |
Idabel Primary Care Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1425 E Lincoln Rd, Idabel, OK 74745 Phone: 580-286-4900 Fax: 580-286-3955 | |
Thomas W. Salyer, Do, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1302 S Lynn Ln, Idabel, OK 74745 Phone: 580-286-3993 | |
George Edward Freeman, D.o.,p.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1425 E Lincoln Rd, Suite B-1, Idabel, OK 74745 Phone: 580-286-4949 Fax: 580-286-4946 | |
Kiamichi Family Medical Center Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 601 Se Washington St, Idabel, OK 74745 Phone: 580-286-6688 Fax: 580-286-6699 | |
Kiamichi Family Medical Center Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2809 Ne Lincoln Rd, Idabel, OK 74745 Phone: 580-286-6688 Fax: 580-286-6699 | |
Ardeshir F. Nia, Md, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1211 E Lincoln Rd, Idabel, OK 74745 Phone: 580-286-4300 Fax: 580-286-5530 | |
Choctaw Nation Health Clinic-idabel Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 902 E Lincoln Rd, Idabel, OK 74745 Phone: 918-567-7000 Fax: 918-567-7041 |