CHOCTAW NATION OF OKLAHOMA (NPI# 1609924471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609924471 |
| Entity Type | Organization |
| Organization Name | CHOCTAW NATION OF OKLAHOMA |
| Other Organization Name | CHOCTAW NATION HEALTH CLINIC-STIGLER RX |
| Practice Address |
2204 E Main St Stigler OK 74462-2822 |
| Practice Telephone | 9155677000 |
| Practice Fax Number | 9185677041 |
| Mailing Telephone | 9155677000 |
| Mailing Fax Number | 9185677041 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2013-05-03 |
| Authorized Official Name | MRS. TERESA K JACKSON (ADMINISTRATOR) |
| Authorized Official Telephone | 9185677000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | 584848 | OK | Ambulatory Health Care Facilities |
| Y | 332800000X | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 58-4848 | OK | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100699600S | 05 |
| Other Name | Type Code |
|---|---|
| Choctaw Nation Health Clinic-Stigler Rx | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982992269 | Choctaw Nation of Oklahoma | Clinic/Center | 205 Dallas St, Talihina, OK 74571-2402 | 2011-07-20 |
| 1902078728 | Choctaw Nation of Oklahoma | Clinic/Center | 1201 W Liberty Rd, Atoka, OK 74525-1639 | 2008-04-01 |
| 1174599088 | Choctaw Nation of Oklahoma | Clinic/Center | 410 North M, Hugo, OK 74743 | 2006-02-28 |
| 1770559619 | Choctaw Nation of Oklahoma | Clinic/Center | 205 E 3rd St, Broken Bow, OK 74728-4119 | 2006-02-28 |
| 1104344027 | Choctaw Nation of Oklahoma | Clinic/Center | 1 Choctaw Way, Talihina, OK 74571-2022 | 2017-08-30 |
| 1306384821 | Choctaw Nation of Oklahoma | Clinic/Center | 1801 Chukka Hina, Durant, OK 74701-3085 | 2017-02-03 |
| 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 |
| 1396173449 | Choctaw Nation of Oklahoma | Clinic/Center | 1801 Chukka Hina, Durant, OK 74701-3085 | 2013-10-29 |
| 1659674455 | Choctaw Nation of Oklahoma | General Acute Care Hospital | 1 Choctaw Way, Talihina, OK 74571-2022 | 2010-12-16 |
| 1790833564 | Choctaw Nation of Oklahoma | Clinic/Center | 902 E Lincoln Rd, Idabel, OK 74745-7337 | 2007-01-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CHOCTAW NATION OF OKLAHOMA | 1802 Chukka Hina, Durant, OK 74701-7117 |
| Street Address |
2204 E MAIN ST |
| City | STIGLER |
| State | OK |
| Zip Code | 74462-2822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568437812 | Gwendolyn Hendrix-bush | Physician Assistant | 2204 E Main St, Stigler, OK 74462-2822 | 2006-02-21 |
| 1154704401 | Jennifer Parker | Nurse Practitioner | 2204 E Main St, Stigler, OK 74462-2822 | 2015-07-06 |
| 1457625873 | Meredith D Ross | Pharmacist | 2204 E Main St, Stigler, OK 74462-2822 | 2012-03-02 |
| 1639147093 | Benjamin Campbell Thompson | Optometrist | 2204 E Main St, Stigler, OK 74462-2822 | 2006-03-10 |
| 1184690026 | Choctaw Nation of Oklahoma | Clinic/Center | 2204 E Main St, Stigler, OK 74462-2822 | 2006-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275986879 | Amy Garman | Occupational Therapy Assistant | 392 W Brooken Mtn Rd, Stigler, OK 74462 | 2016-07-19 |
| 1528407624 | Thompson Hometown Eyecare LLC | Optometrist | 111 N. Broadway, Stigler, OK 74462 | 2013-06-21 |
| 1245579952 | United Partners Healthcare 2, Inc. | Home Health | 903 West Main Street, Stigler, OK 74462 | 2013-02-01 |
| 1164791745 | Teresa Lynn Lindsy | Psychologist | 208 N.e. 8th St, Stigler, OK 74462 | 2011-12-28 |
| 1700168994 | Counseling Services of Leflore County | Community/Behavioral Health | 605 E Main Street, Stigler, OK 74462 | 2011-09-13 |
| 1447561584 | Cah Acquisition Company 16 LLC | Clinic/Center | 901 Nw 6th Street, Stigler, OK 74462 | 2010-06-23 |
| 1922329853 | Cah Acquisition Company 16 LLC | General Acute Care Hospital | 401 Nw H Street, Stigler, OK 74462 | 2010-06-15 |
| 1114241239 | Jack H Wilson | Counselor | 11730 Highway 9 West, Stigler, OK 74462 | 2010-03-18 |
| 1346563707 | Jack N. Sellers Dds, P.C. | Dentist | 103 N.w. 9th Street, Stigler, OK 74462 | 2010-03-12 |
| 1538490842 | Michael R Clark | Chiropractor | 804 S.e. 3rd St., Stigler, OK 74462 | 2010-01-26 |
| Find all providers in zip 74462 | ||||
| Taxonomy Code | 332800000X |
| Grouping | Suppliers |
| Classification | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
| 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] |
| 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 | ||||
Please comment or provide details below to improve the information on CHOCTAW NATION OF OKLAHOMA.
| 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.