| Choctaw Nation Of Oklahoma | |
|
1585 W Liberty Rd Atoka OK 74525-1702 | |
| (800) 349-7026 | |
| (918) 567-7180 |
| Full Name | Choctaw Nation Of Oklahoma |
|---|---|
| Speciality | Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy |
| Location | 1585 W Liberty Rd, Atoka, Oklahoma |
| Authorized Official Name and Position | Todd A Hallmark (EXECUTIVE OFFICER - DEPT OF HEALTH) |
| Authorized Official Contact | 9185677115 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Choctaw Nation Of Oklahoma One Choctaw Way Talihina OK 74571 Ph: (800) 349-7026 | Choctaw Nation Of Oklahoma 1585 W Liberty Rd Atoka OK 74525-1702 Ph: (800) 349-7026 |
| NPI Number | 1972769701 |
|---|---|
| Provider Enumeration Date | 07/31/2008 |
| Last Update Date | 08/08/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972769701 | NPI | - | NPPES |
| 100244980A | Medicaid | OK | |
| 57-5309 | Other | OK | OK STATE BOARD OF PHARMACY |
| 100244980K | Medicaid | OK | |
| 3725326 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
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