| Talihina Community Clinic | |
|
205 Dallas St Talihina OK 74571-2402 | |
| (918) 567-7000 | |
| (918) 567-7041 |
| Full Name | Talihina Community Clinic |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 205 Dallas St, Talihina, Oklahoma |
| Authorized Official Name and Position | Teresa Kay Jackson (CEO) |
| Authorized Official Contact | 9185677054 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Talihina Community Clinic 205 Dallas St Talihina OK 74571-2402 Ph: (918) 567-7000 | Talihina Community Clinic 205 Dallas St Talihina OK 74571-2402 Ph: (918) 567-7000 |
| NPI Number | 1982992269 |
|---|---|
| Provider Enumeration Date | 07/20/2011 |
| Last Update Date | 01/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982992269 | NPI | - | NPPES |
| 100244980H | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP0904X | Clinic/center - Public Health, Federal | (* (Not Available)) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Choctaw Nation Health Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1 Choctaw Way, Talihina, OK 74571 Phone: 918-567-7000 Fax: 918-567-7041 |