CHICKASAW NATION DIVISION OF HEALTH


Address: 1438 Hardcastle Blvd, Purcell, OK 73080-8233
Phone: 5802725710

CHICKASAW NATION DIVISION OF HEALTH (NPI# 1396860003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396860003
Entity Type Organization
Organization Name CHICKASAW NATION DIVISION OF HEALTH
Other Organization Name PURCELL INDIAN HEALTH CLINIC
Practice Address 1438 Hardcastle Blvd
Purcell
OK 73080-8233
Mailing Address 1921 Stonecipher Dr
Ada
OK 74820-3439
Practice Telephone 5802725710
Practice Fax Number 5802725711
Mailing Telephone 5804214597
Mailing Fax Number 5804214598
Enumeration Date 2007-03-20
Last Update Date 2017-02-15
Authorized Official Name ZACH WILLIAMS (PHARMACIST)
Authorized Official Telephone 5804363980
Authorized Official Credential DPH
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 333600000X Pharmacy Suppliers
Y 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 474906 OK Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
PK 2076971 01
OK 100689860C 05

Other Provider/Organization Names

Other Name Type Code
PURCELL INDIAN HEALTH CLINIC Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1295399095 Chickasaw Nation Division of Health Durable Medical Equipment & Medical Supplies 1904 Carl Albert Blvd Ste B, Ada, OK 74820-3493 2019-04-26
1487715587 Chickasaw Nation Division of Health Pharmacy 933 N Country Club Rd, Ada, OK 74820-2845 2006-12-12
1376652180 Chickasaw Nation Division of Health Technician/Technologist 1005 N Country Club Rd, Ada, OK 74820-2847 2006-08-29
1174063903 Chickasaw Nation Division of Health Medicare Defined Swing Bed Unit 1921 Stonecipher Blvd, Ada, OK 74820-3439 2017-02-27
1649593252 Chickasaw Nation Division of Health Pharmacy 1921 Stonecipher Dr, Ada, OK 74820-3439 2010-03-10
1598943706 Chickasaw Nation Division of Health Clinic/Center 1921 Stonecipher Blvd, Ada, OK 74820-3439 2008-02-11
1669597027 Chickasaw Nation Division of Health Pharmacy 2510 Chickasaw Blvd, Ardmore, OK 73401-1341 2007-03-21
1215052675 Chickasaw Nation Division of Health Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 1007 N Country Club Rd, Ada, OK 74820-2847 2007-03-21
1750406757 Chickasaw Nation Division of Health Pharmacy 817 E 6th St, Tishomingo, OK 73460-1800 2007-03-20

Office Location

Street Address 1438 HARDCASTLE BLVD
City PURCELL
State OK
Zip Code 73080-8233

Providers in the same location

NPI Name Taxonomy Address Enumeration
1619954682 Brian Joachims Family Medicine 1438 Hardcastle Blvd, Purcell, OK 73080-8233 2005-12-29
1235582099 Debra Ann Degering Nurse Practitioner 1438 Hardcastle Blvd, Purcell, OK 73080-8233 2016-07-18
1386997674 Brandi Brooks Pharmacist 1438 Hardcastle Blvd, Purcell, OK 73080-8233 2012-10-24
1497989248 Erica D Dearman Family Medicine 1438 Hardcastle Blvd, Purcell, OK 73080 2009-05-07
1336390574 Carol Jean Mccarty Physician Assistant 1438 Hardcastle Blvd, Purcell, OK 73080-8233 2008-10-07
1558481812 Kelly Tate Pharmacy Technician 1438 Hardcastle Blvd, Purcell, OK 73080-8233 2007-03-30
1720102049 Carrie Law Pharmacist 1438 Hardcastle Blvd, Purcell, OK 73080-8233 2007-03-19
1982764395 Chickasaw Nation Division of Health Chickasaw Nation Medical Center Clinic/Center 1438 Hardcastle Blvd, Purcell, OK 73080-8233 2006-12-08
1932187382 Shawn Bridwell Physician Assistant 1438 Hardcastle Blvd, Purcell, OK 73080-8233 2006-01-05

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255702981 Clarissa Shomo Social Worker Outpatient Services Purcell- 1726 N. Green Ave, Strong Family Development, Purcell, OK 73080 2015-10-07
1992138614 Crystal Nicole Navarro Social Worker 1726 N. Green Avenue, Purcell, OK 73080 2013-08-16
1417242595 Jarod D. Allen Behavioral Analyst Outpatient Services-purcell-1726 N Green Ave, Strong Family Development, Purcell, OK 73080 2011-06-16
1508195397 Custom Dental of Purcell, Pllc Dentist 700 Chandler Rd., Purcell, OK 73080 2009-12-08
1336387513 Regina Gail Pereira Counselor Outpatient Servies Purcell- 1726 W Green Ave, Strong Family Development, Purcell, OK 73080 2009-01-27
1114182342 Tenia Ladonna Skinner Family Medicine 129 N 3rd Ave Ste C, Purcell, OK 73080 2008-07-28
1164691234 Carla D Parnacher Counselor 1726 N Green Ave Outpatient Services- Purcell, Strong Family Development, Norman, OK 73080 2008-02-22
1932319811 Amanda Diane Harrington Marriage & Family Therapist 1438 Hardcastle Blvd., Medical Family Therapy, Purcell, OK 73080 2007-05-22
1215059464 Purcell Chiropractic PC Chiropractor 1205 N Green Ave, Purcell, OK 73080 2007-04-06
1144365339 Cynthia Inez Maynard Marriage & Family Therapist 1726 North Green Avenue, Strong Family Development-outpatient Services Purcell, Purcell, OK 73080 2007-02-21
Find all providers in zip 73080

Taxonomy Information

Taxonomy Code 332800000X
Grouping Suppliers
Classification Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy

Taxonomy Definition

An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603.
Notes: Source: The Medicare Prescription Drug, Improvement and Modernization Act of 2003 [1/1/2006: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1639472970 Carnegie Indian Health Clinic Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 212 E. 4th St, Carnegie, OK 73015 2010-12-08
1568512374 Wewoka Ihs Pharmacy Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy Intersection of Hwy 56 and 270, Wewoka, OK 74884 2007-01-12
1316097389 Anadarko Ihs Pharmacy Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 115 Ne Old Town Rd, Anadarko, OK 73005-5009 2007-01-11
1538219431 El Reno Ihs Pharmacy Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 1801 Parkview Drive, El Reno, OK 73632 2007-01-11
1871663203 Sac & Fox Nation Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 356110 E 930 Rd, Stroud, OK 74079-5184 2006-11-09
1699790543 Li-si-wi-nwi Health, Inc Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 15951 Little Axe Drive, Norman, OK 73026-9001 2006-07-13
1952303190 Pawhuska Ihs Pharmacy Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 715 Grandview Ave, Pawhuska, OK 74056-3201 2005-06-01
1568839470 Osage Nation Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 715 Grandview Ave, Pawhuska, OK 74056-3201 2015-08-26
1295142115 Choctaw Nation of Oklahoma Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 1801 Chukka Hina, Durant, OK 74701 2014-07-14
1598053993 Citizen Potawatomi Nation West Clinic Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 781 Grand Casino Blvd, Shawnee, OK 74804-1005 2011-07-19
Find all providers with the same taxonomy

Competitor

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City PURCELL
Zip Code 73080

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Dataset Information

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.

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