| Choctaw Nation Of Oklahoma | |
|
1 Choctaw Way Talihina OK 74571-2022 | |
| (918) 567-7000 | |
| Not Available |
| Full Name | Choctaw Nation Of Oklahoma |
|---|---|
| Speciality | Clinic/center - Ambulatory Surgical |
| Location | 1 Choctaw Way, Talihina, 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) 916-9140 | Choctaw Nation Of Oklahoma 1 Choctaw Way Talihina OK 74571-2022 Ph: (918) 567-7000 |
| NPI Number | 1104344027 |
|---|---|
| Provider Enumeration Date | 08/30/2017 |
| Last Update Date | 01/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104344027 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP0904X | Clinic/center - Public Health, Federal | (* (Not Available)) | Secondary |
| 261QA1903X | Clinic/center - Ambulatory Surgical | (Oklahoma) | Primary |
Choctaw Nation Of Oklahoma Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1 Choctaw Way, Talihina, OK 74571 Phone: 918-567-7000 Fax: 918-567-7041 | |
Choctaw Nation Of Oklahoma Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 Dallas St, Talihina, OK 74571 Phone: 918-567-7000 Fax: 918-567-7041 |