USPHS/IHS/WEWOKA INDIAN HEALTH CLINIC (NPI# 1073968855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073968855 |
| Entity Type | Organization |
| Organization Name | USPHS/IHS/WEWOKA INDIAN HEALTH CLINIC |
| Practice Address |
36640 Hwy 270 Wewoka OK 74884-1475 |
| Mailing Address |
Po Box 1475 Wewoka OK 74884-1475 |
| Practice Telephone | 4052577361 |
| Practice Fax Number | 4052573344 |
| Mailing Telephone | 4052577361 |
| Mailing Fax Number | 4052573344 |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2016-04-28 |
| Authorized Official Name | DR. SHANNON MICHELLE LOWE (ASSISTANT DIRECTOR OF PHARMACY) |
| Authorized Official Telephone | 4052577361 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP0904X |
Clinic/Center Specialization: Public Health, Federal |
14343 | OK | Ambulatory Health Care Facilities |
| Street Address |
36640 HWY 270 |
| City | WEWOKA |
| State | OK |
| Zip Code | 74884-1475 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841798626 | Luvey Deatherage | Physician Assistant | 36640 Old Hwy 270, Wewoka, OK 74884 | 2018-01-26 |
| 1730604422 | Robert Adarme Montanez | Pharmacist | 36640 Hwy 270 Barking Water Rd, Wewoka, OK 74884 | 2017-08-03 |
| 1447788484 | Domika Kinman | Dental Hygienist | 36640 Highway 270, Wewoka, OK 74884 | 2017-06-02 |
| 1942737101 | Aaron Jahmal Johnson | Pharmacist | 36640 Hwy 270 and Barking Water Road, Wewoka, OK 74884 | 2017-05-18 |
| 1912434689 | Shannon Lowe | Pharmacist | 36640 Hwy 270 & Barkingwater Rd, Wewoka, OK 74884 | 2017-05-12 |
| 1225483522 | Indian Health Service-wewoka | Clinic/Center | Jct Hwys 56 & 270, Wewoka, OK 74884 | 2016-04-25 |
| 1093184145 | East Central Oklahoma Family Health Center, Inc. | Clinic/Center | 121 N. Mekusukey Avenue, Wewoka, OK 74884 | 2015-09-18 |
| 1841667441 | Chandler Hall | Dentist | Hwy 56 and 270 Jct, Wewoka, OK 74884 | 2015-08-31 |
| 1285989459 | Sherry Goines Loving | Counselor | 221 N. Wewoka Ave, Wewoka, OK 74884 | 2012-07-13 |
| 1053681346 | Misty Smith | Dental Hygienist | Hwy 270 & 56 Jct, Wewoka, OK 74884 | 2012-01-04 |
| Find all providers in zip 74884 | ||||
| Taxonomy Code | 261QP0904X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Public Health, Federal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225483522 | Indian Health Service-wewoka | Clinic/Center | Jct Hwys 56 & 270, Wewoka, OK 74884 | 2016-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700977808 | Dhhs Us Public Health Service Indian Health Service | Clinic/Center | 101s Moore Ave, Claremore, OK 74017-5047 | 2006-09-27 |
| 1457459158 | Carnegie Indian Health Center | Clinic/Center | 212 E. 4th Street, Carnegie, OK 73015 | 2006-09-20 |
| 1881637403 | Anadarko Indian Health Center | Clinic/Center | 201 E Parker Mckenzie Drive, Anadarko, OK 73005-5009 | 2006-06-13 |
| 1831174085 | Oklahoma City-county Health Department | Clinic/Center | 921 Ne 23rd St, Oklahoma City, OK 73105-7936 | 2005-12-09 |
| 1750680765 | Us Public Health Service Indian Health | Clinic/Center | Rr 1 Box 3060, Clinton, OK 73601-9303 | 2011-03-17 |
| 1114044369 | Oklahoma State Department of Health | Clinic/Center | 1000 Ne 10th St, Oklahoma City, OK 73117-1207 | 2007-03-23 |
| 1205923448 | Clinton Indian Health Center | Clinic/Center | 10321 N 2274 Rd, Clinton, OK 73601-7521 | 2006-10-09 |
| 1104912674 | Tulsa City-county Health Department | Clinic/Center | 315 S Utica Ave, Tulsa, OK 74104-2203 | 2006-10-04 |
Please comment or provide details below to improve the information on USPHS/IHS/WEWOKA INDIAN HEALTH CLINIC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.