CHICKASAW NATION DIVISION OF HEALTH


Address: 1921 Stonecipher Blvd, Ada, OK 74820-3439
Phone: 5804214570

CHICKASAW NATION DIVISION OF HEALTH (NPI# 1598943706) 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) 1598943706
Entity Type Organization
Organization Name CHICKASAW NATION DIVISION OF HEALTH
Practice Address 1921 Stonecipher Blvd
Ada
OK 74820-3439
Practice Telephone 5804214570
Practice Fax Number 5804216283
Mailing Telephone 5804214570
Mailing Fax Number 5804216283
Enumeration Date 2008-02-11
Last Update Date 2012-03-27
Authorized Official Name BRENDA TEEL (BUSINESS OFFICE MANAGER)
Authorized Official Telephone 5804214570
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261Q00000X Clinic/Center Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
OK 100747670A 05

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
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
1396860003 Chickasaw Nation Division of Health Pharmacy 1438 Hardcastle Blvd, Purcell, OK 73080-8233 2007-03-20

Office Location

Street Address 1921 STONECIPHER BLVD
City ADA
State OK
Zip Code 74820-3439

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861909111 Onecore Orthopedics, L L C Clinic/Center 1414 Arlington St Ste 2000, Ada, OK 74820-2613 2018-01-09
1114126711 Jason H Hale Chiropractic P C Clinic/Center 428 E 10th St, 429 E. 10th St, Ada, OK 74820-5221 2007-07-13
1922152545 Steven L Fillmore, Md Clinic/Center 1150 N Hills Shopping Ctr, Ada, OK 74820-1864 2007-01-22
1821043647 Total Healthcare Plus Inc. Clinic/Center 1201 Arlington St, Suite B, Ada, OK 74820-4072 2006-05-23
1427699842 Kindful Care LLC Clinic/Center 117 S Broadway Ave, Ada, OK 74820-5801 2019-10-07
1538450689 Sovereign Family Clinic, LLC Clinic/Center 1007 N Country Club Rd, Ada, OK 74820-2847 2011-04-25
1821223884 Occupational Therapy Solutions Clinic/Center 119 N Broadway Ave, Ada, OK 74820-5049 2009-05-20
1770609042 R & L Ortega Pllc Clinic/Center 520 N Monte Vista St, Suite A, Ada, OK 74820-4674 2007-03-21

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1689275471 Osu Center for Health Sciences Clinic/Center 1 E Clark Bass Blvd Ste 201, Mcalester, OK 74501-4209 2020-11-06
1427662170 Osu Center for Health Sciences Clinic/Center 802 S Jackson Ave Ste 410, Tulsa, OK 74127-9059 2020-09-01
1154949642 Osu Center for Health Sciences Clinic/Center 140 W 151st St S, Glenpool, OK 74033-4523 2020-07-10
1235757071 Equality Health Group LLC Clinic/Center 4301 Nw 63rd St Ste 109, Oklahoma City, OK 73116-1548 2020-07-08
1538785985 Stars and Stripes Therapy Inc. Clinic/Center 713 Sw C Ave Ste A, Lawton, OK 73501-4311 2020-06-22
1265058101 Taylor Medical Group, LLP Clinic/Center 735 W Locust St, Stilwell, OK 74960-3403 2020-06-16
1891317731 Sparks Medical Consulting LLC Clinic/Center 1604 Sw 38th St, Moore, OK 73160-2953 2020-05-14
1093341844 Osu Center for Health Sciences Clinic/Center 3201 W Gore Blvd Ste G2, Lawton, OK 73505-6323 2020-03-12
1255964128 Osu Center for Health Sciences Clinic/Center 110 Nw 31st St Fl 3, Lawton, OK 73505-6100 2020-02-19
1104458231 Osu Center for Health Sciences Clinic/Center 6501 S Western Ave Ste 101, Oklahoma City, OK 73139-1709 2020-02-06
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Competitor

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City ADA
Zip Code 74820

Improve Information

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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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