| 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 |
|---|---|
| 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 | |
Idabel Medical Clinic, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 805 E Washington St, Idabel, OK 74745 Phone: 580-286-1095 Fax: 580-286-3122 |