CHICKASAW NATION MEDICAL CENTER BEH. HEALTH (NPI# 1366793424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366793424 |
| Entity Type | Organization |
| Organization Name | CHICKASAW NATION MEDICAL CENTER BEH. HEALTH |
| Practice Address |
1921 Stonecipher Blvd Ada OK 74820 |
| Practice Telephone | 5804214591 |
| Practice Fax Number | 5804214586 |
| Mailing Telephone | 5804214591 |
| Mailing Fax Number | 5804214586 |
| Enumeration Date | 2012-09-28 |
| Last Update Date | 2012-09-28 |
| Authorized Official Name | MRS. BARBARA UNDERWOOD (DIRECTOR) |
| Authorized Official Telephone | 5804214591 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 3927 | OK | Hospitals |
| Street Address |
1921 STONECIPHER BLVD |
| City | ADA |
| State | OK |
| Zip Code | 74820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316945363 | Jerry S Morgan | Internal Medicine | 1921 Stonecipher Blvd, Ada, OK 74820-3439 | 2005-07-13 |
| 1568967602 | Pamela Kelli Grafton | Student in an Organized Health Care Education/Training Program | 1921 Stonecipher Blvd, Ada, OK 74820 | 2018-03-29 |
| 1396273314 | Mohammed R. Kayyali | Dentist | 1921 Stonecipher Blvd, Ada, OK 74820 | 2017-06-03 |
| 1174063903 | Chickasaw Nation Division of Health | Medicare Defined Swing Bed Unit | 1921 Stonecipher Blvd, Ada, OK 74820-3439 | 2017-02-27 |
| 1891247466 | Nissa Harrington | Dietitian, Registered | 1921 Stonecipher Blvd, Ada, OK 74820 | 2016-10-31 |
| 1437605078 | Mara Michael | Physical Therapist | 1921 Stonecipher Blvd, Ada, OK 74820 | 2016-09-01 |
| 1427505072 | Tammy Gearhart | Registered Nurse | 1921 Stonecipher Blvd, Ada, OK 74820 | 2016-09-01 |
| 1588017131 | Jeffrey Wells | Physical Therapist | 1921 Stonecipher Blvd, Ada, OK 74820 | 2016-07-19 |
| 1801254792 | Ashley Curtis | Nurse Practitioner | 1921 Stonecipher Blvd, Ada, OK 74820 | 2016-02-05 |
| 1053778514 | Darlene Seck | Dietitian, Registered | 1921 Stonecipher Blvd, Ada, OK 74820 | 2016-01-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578103727 | Curry Orthopedics and Sports Medicine Pllc | Orthopaedic Surgery | 919 Colony Drive, Ada, OK 74820 | 2020-01-15 |
| 1215574603 | Miranda Denise Bowman | Counselor | 1300 Hoppe Blvd., Suite 5, Ada, OK 74820 | 2019-12-04 |
| 1326509654 | Patricia June Harjo | Case Manager/Care Coordinator | Nittak Himitta' Women's and Children's Recovery Center, 2024 Te Ata Drive, Ada, OK 74820 | 2019-03-28 |
| 1649737172 | Rylee Nikole Leblanc | Case Manager/Care Coordinator | 1119 S High School St, Ada, OK 74820 | 2019-02-20 |
| 1891251328 | David Kinback | Rehabilitation Counselor | 1400 Hoppe Blvd., Suite 3, Cn Recovery Resource Services, Ada, OK 74820 | 2019-02-20 |
| 1922571009 | Central Oklahoma Family Medical Center, Inc. | Pharmacy | 905 Colony Dr, Ada, OK 74820 | 2019-01-10 |
| 1063988673 | Central Oklahoma Family Medical Center, Inc | Clinic/Center | 905 Colony Drive Bldg, Ada, OK 74820 | 2018-10-22 |
| 1265907885 | Apex Surgery Center, LLC | Surgery | 2001 Cradduck Road, Ada, OK 74820 | 2018-10-10 |
| 1689150898 | Sabrina Simmons | Social Worker | 2516 Oakhurst Dr Apt E, Ada, OK 74820 | 2018-07-11 |
| 1700370467 | Brianna Leigh Youngwolfe | Nurse Practitioner | 2020 Arlington St Ste 6, Ada, OK 74820 | 2018-06-17 |
| Find all providers in zip 74820 | ||||
| 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 |
|---|---|---|---|---|
| 1275764607 | St. Rita's Medical Center | General Acute Care Hospital | 308 S Gilbert St Apt 2, Ada, OH 45810-1350 | 2009-08-03 |
| 1952643306 | Mercy Hospital Ada, Inc | General Acute Care Hospital | 430 N Monte Vista St, Ada, OK 74820-4610 | 2013-03-25 |
| 1255652673 | Chickasaw Nation Division of Health Chickasaw Nation Medical Center | General Acute Care Hospital | 1921 Stonecipher Blvd., Ada, OK 74820-3439 | 2010-06-21 |
| 1790824597 | Medical X-ray Consultants P L L C | General Acute Care Hospital | 430 N Monte Vista St, Ada, OK 74820-4610 | 2007-02-06 |
| 1255364923 | Chickasaw Nation Division of Health Chickasaw Nation Medical Center | General Acute Care Hospital | 1921 Stonecipher Boulevard, Ada, OK 74820-3439 | 2006-07-08 |
| 1619938040 | Valley View Hospital | General Acute Care Hospital | 430 N Monte Vista St, Ada, OK 74820-4610 | 2006-03-28 |
| 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 |
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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.