| Choctaw Nation Of Oklahoma | |
|
1300 E Martin Luther King Dr Broken Bow OK 74728-4160 | |
| (918) 567-7000 | |
| (918) 567-7181 |
| Full Name | Choctaw Nation Of Oklahoma |
|---|---|
| Speciality | Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy |
| Location | 1300 E Martin Luther King Dr, Broken Bow, Oklahoma |
| Authorized Official Name and Position | Todd A Hallmark (EXECUTIVE OFFICER) |
| Authorized Official Contact | 9185677115 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Choctaw Nation Of Oklahoma 1300 E Martin Luther King Dr Broken Bow OK 74728-4160 Ph: (918) 567-7000 | Choctaw Nation Of Oklahoma 1300 E Martin Luther King Dr Broken Bow OK 74728-4160 Ph: (918) 567-7000 |
| NPI Number | 1447143532 |
|---|---|
| Provider Enumeration Date | 05/29/2025 |
| Last Update Date | 05/29/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447143532 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 332800000X | Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy | (* (Not Available)) | Primary |
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