| Sapulpa Indian Health Center | |
|
1125 E Cleveland Ave Sapulpa OK 74066-4641 | |
| (918) 224-9310 | |
| (918) 224-9314 |
| Full Name | Sapulpa Indian Health Center |
|---|---|
| Speciality | Clinic/center |
| Location | 1125 E Cleveland Ave, Sapulpa, Oklahoma |
| Authorized Official Name and Position | Shawn Terry (SECRETARY OF HEALTH) |
| Authorized Official Contact | 9187564333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sapulpa Indian Health Center Dept 1467 Tulsa OK 74182-0001 Ph: (918) 756-4333 | Sapulpa Indian Health Center 1125 E Cleveland Ave Sapulpa OK 74066-4641 Ph: (918) 224-9310 |
| NPI Number | 1265623037 |
|---|---|
| Provider Enumeration Date | 08/07/2007 |
| Last Update Date | 10/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265623037 | NPI | - | NPPES |
| 100709130D | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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