| Chickasaw Nation | |
|
231 Seabrook Rd Ada OK 74820-1006 | |
| (580) 436-1222 | |
| Not Available |
| Full Name | Chickasaw Nation |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 231 Seabrook Rd, Ada, Oklahoma |
| Authorized Official Name and Position | Waymon Hinson (ASSOCIATE ADMINISTRATOR) |
| Authorized Official Contact | 5804361222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chickasaw Nation 231 Seabrook Rd Ada OK 74820-1006 Ph: (580) 436-1222 | Chickasaw Nation 231 Seabrook Rd Ada OK 74820-1006 Ph: (580) 436-1222 |
| NPI Number | 1780985952 |
|---|---|
| Provider Enumeration Date | 11/04/2010 |
| Last Update Date | 11/04/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780985952 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 2731 (Oklahoma) | Primary |
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