| Cherokee Nation | |
|
27371 S 4410 Rd Vinita OK 74301-7953 | |
| (918) 256-4800 | |
| (918) 313-0081 |
| Full Name | Cherokee Nation |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 27371 S 4410 Rd, Vinita, Oklahoma |
| Authorized Official Name and Position | Stephen Robert Jones (EXECUTIVE DIRECTOR, HEALTH SERVICES) |
| Authorized Official Contact | 9182564800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cherokee Nation Po Box 1069 Tahlequah OK 74465-1069 Ph: (539) 234-2694 | Cherokee Nation 27371 S 4410 Rd Vinita OK 74301-7953 Ph: (918) 256-4800 |
| NPI Number | 1558377226 |
|---|---|
| Provider Enumeration Date | 08/01/2006 |
| Last Update Date | 11/08/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558377226 | NPI | - | NPPES |
| 100689220 X | Medicaid | OK | |
| 370171 | Other | OK | MEDICARE PART A |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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