CHEROKEE NATION (NPI# 1275799645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275799645 |
| Entity Type | Organization |
| Organization Name | CHEROKEE NATION |
| Other Organization Name | CHEROKEE NATION OUTPATIENT HEALTH CENTER |
| Practice Address |
100 S Bliss Ave Tahlequah OK 74464-2512 |
| Mailing Address |
Po Box 1069 Tahlequah OK 74465-1069 |
| Practice Telephone | 9184583100 |
| Practice Fax Number | 9184583610 |
| Mailing Telephone | 9184535765 |
| Mailing Fax Number | 9184584495 |
| Enumeration Date | 2008-08-05 |
| Last Update Date | 2020-01-24 |
| Authorized Official Name | DR. CHARLES GRIM (EXECUTIVE DIRECTOR, HEALTH SERVICES) |
| Authorized Official Telephone | 9184583100 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities | ||
| Y | 282N00000X | General Acute Care Hospital | Hospitals |
| Other Name | Type Code |
|---|---|
| Cherokee Nation Outpatient Health Center | Other Name - Individual/Organization |
| W.W. Hastings Indian Hospital | Other Name - Individual/Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 19600 E Ross St, Tahlequah, OK 744640545 | 5392341000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356787444 | Cherokee Nation | Clinic/Center | 1277 Skill Center Cir, Tahlequah, OK 74464-6495 | 2013-05-15 |
| 1326294968 | Cherokee Nation | Pharmacy | 19600 North Ross Street, Tahlequah, OK 74464 | 2008-08-14 |
| 1801803846 | Cherokee Nation | Durable Medical Equipment & Medical Supplies | 301 S J T Stites St, Sallisaw, OK 74955-9302 | 2006-08-02 |
| 1093722324 | Cherokee Nation | Clinic/Center | 16944 W Cherokee, Tahlequah, OK 74464-5539 | 2006-08-01 |
| 1659388965 | Cherokee Nation | Clinic/Center | 859 E. Melton Drive, Jay, OK 74346-4205 | 2006-08-01 |
| 1649216441 | Cherokee Nation | Durable Medical Equipment & Medical Supplies | 1020 Lenape Dr, Nowata, OK 74048-4403 | 2006-06-21 |
| 1588667760 | Cherokee Nation | Ambulance | 22114 S Bald Hill Rd, Tahlequah, OK 74464-1519 | 2005-05-23 |
| 1346623584 | Cherokee Nation | Pharmacy | 100 S Bliss Ave, Tahlequah, OK 74464-2512 | 2015-07-07 |
| 1871972430 | Cherokee Nation | Clinic/Center | 395200 W 2900 Rd, Ochelata, OK 74051-2463 | 2015-05-28 |
| 1629476221 | Cherokee Nation | Pharmacy | 395200 W 2900 Rd, Ochelata, OK 74051-2463 | 2014-12-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | CHEROKEE NATION 22ND CENTURY, L.L.C. | 777 W Cherokee St Corp Bldg 2, Catoosa, OK 74015 |
| Colorado Business Entities | Cherokee Nation 3S, L.L.C. | 777 W Cherokee St, Catoosa, OK 74015 |
| Oklahoma Business Registrations | CHEROKEE NATION 3S, L.L.C. | 777 W Cherokee, Catoosa, OK 74015 |
| System for Award Management (SAM) Entities | CHEROKEE NATION AEROSPACE AND DEFENSE, L.L.C. | 2777 Highway 69a, Pryor, OK 74361-4565 |
| Colorado Business Entities | Cherokee Nation Aerospace and Defense, L.L.C. | 777 W. Cherokee Street, Catoosa, OK 74015 |
| Oklahoma Business Registrations | CHEROKEE NATION AEROSPACE AND DEFENSE, L.L.C. | Rt. 3 Box 498, Stilwell, OK 74960 |
| System for Award Management (SAM) Entities | CHEROKEE NATION ASSURANCE, L.L.C. | 777 W Cherokee St, Catoosa, OK 74015-3235 |
| Oregon Corporations, Companies and Business Names | CHEROKEE NATION ASSURANCE, L.L.C. | 777 W Cherokee Street, Corp Bldg 2, Catoosa, OK 74015 |
| Washington State Corporations | CHEROKEE NATION ASSURANCE, L.L.C. | 777 W Cherokee St, Corp. Bldg. 2, Catoosa, OK 74015 |
| Colorado Business Entities | Cherokee Nation Assurance, L.L.C. | 777 W. Cherokee Street, Corp. Bldg. 2, Catoosa, OK 74015 |
| Street Address |
100 S BLISS AVE |
| City | TAHLEQUAH |
| State | OK |
| Zip Code | 74464-2512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194727198 | Owen Buck Gilmore | Family Medicine | 100 S Bliss Ave, Tahlequah, OK 74464-2512 | 2005-08-10 |
| 1669085049 | Catherine Bailey Mcguffey | Physician Assistant | 100 S Bliss Ave, Tahlequah, OK 74464-2512 | 2020-08-26 |
| 1679183404 | Kathryn Nicole Martin | Advanced Practice Midwife | 100 S Bliss Ave, Tahlequah, OK 74464-2512 | 2020-08-06 |
| 1548882103 | Stacy Lynn Rutherford | Registered Nurse | 100 S Bliss Ave, Tahlequah, OK 74464-2512 | 2020-05-17 |
| 1033739354 | Kelsey Kitchens | Audiologist | 100 S Bliss Ave, Tahlequah, OK 74464-2512 | 2020-04-17 |
| 1952930257 | Athena Chatzigiannidis | Student in an Organized Health Care Education/Training Program | 100 S Bliss Ave, Tahlequah, OK 74464-2512 | 2020-04-07 |
| 1942839394 | Sean Crawford | Student in an Organized Health Care Education/Training Program | 100 S Bliss Ave, Tahlequah, OK 74464-2512 | 2020-04-07 |
| 1912544735 | Henri Jade Casey | Dentist | 100 S Bliss Ave, Tahlequah, OK 74464-2512 | 2019-12-01 |
| 1831743624 | Sonny Jefferson James Downing | Pharmacist | 100 S Bliss Ave, Tahlequah, OK 74464-2512 | 2019-07-30 |
| 1275190688 | Sam Blake Campbell | Dentist | 100 S Bliss Ave, Tahlequah, OK 74464-2512 | 2019-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184253403 | Kendall Harris | Student in an Organized Health Care Education/Training Program | 100 Bliss Ave, Tahlequah, OK 74464 | 2020-04-07 |
| 1528609302 | Norma Brightly | Technician | 103 Sequoyah, Tahlequah, OK 74464 | 2019-10-03 |
| 1073175832 | Jody Lynn Dallis | Case Manager/Care Coordinator | Tenkiller Behavioral Services, 27753 S. Welling Rd, Welling, OK 74464 | 2019-07-02 |
| 1184287849 | Perry Jake Proctor | Student in an Organized Health Care Education/Training Program | 1400 E Downing St, Tahlequah, Ok 74464, Tahlequah, OK 74464 | 2019-04-18 |
| 1336657279 | Sidney Sheyenne Kimble | Case Manager/Care Coordinator | 1429 Jack Brown Lane, Tahlequah, OK 74464 | 2018-01-12 |
| 1891225686 | Nichols Bradley Alberty | Orthotist | 1294 East Downing, Suite 3, Tahlequah, OK 74464 | 2017-06-14 |
| 1922549690 | Krystal Easter Ms, Lpc | Counselor | 2201 Oakridge Dr, Tahlequah, OK 74464 | 2017-03-15 |
| 1144777319 | Northeastern Oklahoma Community Health Centers, Inc. | Clinic/Center | 529 N. Oak St., Tahlequah, OK 74464 | 2016-09-06 |
| 1548713456 | Clement Isioma Nwadozi | Optometrist | 3763 Southridge Cir Apt 6, Tahlequah, OK 74464 | 2016-07-27 |
| 1033532635 | Wesley Gragg | Specialist/Technologist | 603 North Grand Avenue, Tahlequah, OK 74464 | 2014-02-03 |
| Find all providers in zip 74464 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386101202 | Tulsa Er & Hospital LLC | General Acute Care Hospital | 717 W. 71st Street, Tulsa, OK 74132-7413 | 2019-02-27 |
| 1821565961 | Oklahoma Er Hospital, LLC | General Acute Care Hospital | 15103 N Pennsylvania Ave, Edmond, OK 73013-1401 | 2018-10-26 |
| 1942784715 | Iacc/ehi Nw, LLC | General Acute Care Hospital | 4801 S.e. 15th Street, Del City, OK 73115 | 2018-09-18 |
| 1336623198 | Iacc/ehi Nw, LLC | General Acute Care Hospital | 300 South Rockwell Avenue, Oklahoma City, OK 73128 | 2018-09-18 |
| 1194209155 | Iacc/ehi Nw, LLC | General Acute Care Hospital | 9417 N Council Rd, Oklahoma City, OK 73162-6207 | 2018-09-17 |
| 1265971717 | Tulsa Micro Hospital, LLC | General Acute Care Hospital | 717 West 71st Street, Tulsa, OK 74132 | 2017-02-16 |
| 1811448384 | Emily Hutchinson | General Acute Care Hospital | 6708 E 76th St, Tulsa, OK 74133-3422 | 2016-10-20 |
| 1730635301 | Post Acute Medical Rehabilitation Hospital of Tulsa, LLC | General Acute Care Hospital | 10020 E 91st St, Tulsa, OK 74133-5835 | 2016-09-01 |
| 1922551779 | Malissa Calhoon | General Acute Care Hospital | 1004 Se 1st St, Pryor, OK 74361-4801 | 2016-07-28 |
| 1255884003 | Ou Medical Center | General Acute Care Hospital | 940 Ne 13th St Ste 1360, Oklahoma City, OK 73104-5008 | 2016-07-28 |
| Find all providers with the same taxonomy | ||||
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| 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.