| Choctaw Nation Of Oklahoma | |
|
1801 Chukka Hina Durant OK 74701-3085 | |
| (580) 920-2100 | |
| (580) 924-7215 |
| Full Name | Choctaw Nation Of Oklahoma |
|---|---|
| Speciality | Clinic/center - Ambulatory Surgical |
| Location | 1801 Chukka Hina, Durant, Oklahoma |
| Authorized Official Name and Position | Teresa Kay Jackson (CEO) |
| Authorized Official Contact | 9185677000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Choctaw Nation Of Oklahoma Po Box 1577 Durant OK 74702-1577 Ph: (580) 920-2100 | Choctaw Nation Of Oklahoma 1801 Chukka Hina Durant OK 74701-3085 Ph: (580) 920-2100 |
| NPI Number | 1306384821 |
|---|---|
| Provider Enumeration Date | 02/03/2017 |
| Last Update Date | 01/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306384821 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP0904X | Clinic/center - Public Health, Federal | (* (Not Available)) | Secondary |
| 261QA1903X | Clinic/center - Ambulatory Surgical | (* (Not Available)) | Primary |
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