| Choctaw Nation Of Oklahoma | |
|
1801 Chukka Hina Durant OK 74701 | |
| (580) 920-2100 | |
| (918) 567-7180 |
| Full Name | Choctaw Nation Of Oklahoma |
|---|---|
| Speciality | Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy |
| Location | 1801 Chukka Hina, Durant, 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 74571-2022 Ph: (918) 567-7000 | Choctaw Nation Of Oklahoma 1801 Chukka Hina Durant OK 74701 Ph: (580) 920-2100 |
| NPI Number | 1295142115 |
|---|---|
| Provider Enumeration Date | 07/14/2014 |
| Last Update Date | 08/08/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295142115 | NPI | - | NPPES |
| 2148099 | Other | PK | |
| 27-6867 | Other | OK | STATE BOARD OF PHARMACY |
| 27-7805 | Other | OK | STATE BOARD OF PHARMACY |
| 3728334 | Other | NCPDP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 332800000X | Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy | 276867 (Oklahoma) | Primary |
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