CHICKASAW NATION DIVISION OF HEALTH CHICKASAW NATION MEDICAL CENTER (NPI# 1649330242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649330242 |
Entity Type | Organization |
Organization Name | CHICKASAW NATION DIVISION OF HEALTH CHICKASAW NATION MEDICAL CENTER |
Other Organization Name | CHICKASAW NATION TISHOMINGO CLINIC |
Practice Address |
817 E 6th St Tishomingo OK 73460-1800 |
Mailing Address |
1925 Warrior Way Ada OK 74820 |
Practice Telephone | 5803712392 |
Mailing Telephone | 5804214570 |
Mailing Fax Number | 5804216283 |
Enumeration Date | 2006-12-12 |
Last Update Date | 2018-08-17 |
Authorized Official Name | KIRBI MEEKS (CONTRACT MANAGEMENT COORDINATOR) |
Authorized Official Telephone | 5804214570 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Chickasaw Nation Tishomingo Clinic | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457865917 | Chickasaw Nation Division of Health Chickasaw Nation Medical Center | Medicare Defined Swing Bed Unit | 1921 Stonecipher Dr, Ada, OK 74820-3439 | 2017-11-20 |
1255652673 | Chickasaw Nation Division of Health Chickasaw Nation Medical Center | General Acute Care Hospital | 1921 Stonecipher Blvd., Ada, OK 74820-3439 | 2010-06-21 |
1790006112 | Chickasaw Nation Division of Health Chickasaw Nation Medical Center | Clinic/Center | 1921 Stonecipher Blvd., Ada, OK 74820-3439 | 2010-06-21 |
1396923280 | Chickasaw Nation Division of Health Chickasaw Nation Medical Center | Ambulance | 1921 Stonecipher Blvd, Ada, OK 74820 | 2008-02-04 |
1962563148 | Chickasaw Nation Division of Health Chickasaw Nation Medical Center | Clinic/Center | 1007 N Country Club Rd, Ada, OK 74820-2847 | 2006-12-12 |
1982764395 | Chickasaw Nation Division of Health Chickasaw Nation Medical Center | Clinic/Center | 1438 Hardcastle Blvd, Purcell, OK 73080-8233 | 2006-12-08 |
1730249186 | Chickasaw Nation Division of Health Chickasaw Nation Medical Center | Clinic/Center | 2510 Chickasaw Blvd, Ardmore, OK 73401-1341 | 2006-12-08 |
1255364923 | Chickasaw Nation Division of Health Chickasaw Nation Medical Center | General Acute Care Hospital | 1921 Stonecipher Boulevard, Ada, OK 74820-3439 | 2006-07-08 |
Street Address |
817 E 6TH ST |
City | TISHOMINGO |
State | OK |
Zip Code | 73460-1800 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801879838 | Michael J Reyes | Physician Assistant | 817 E 6th St, Tishomingo, OK 73460-1800 | 2005-11-23 |
1710545934 | Chelsea Griffin | Case Manager/Care Coordinator | 817 E 6th St, Tishomingo, OK 73460-1800 | 2019-06-03 |
1366983249 | Shawnna Smith | Registered Nurse | 817 E 6th St, Tishomingo, OK 73460 | 2017-03-13 |
1710428693 | Jennifer Corbin | Registered Nurse | 817 E 6th St, Tishomingo, OK 73460 | 2017-03-13 |
1003364787 | Brianna Megan Thompson | Counselor | 817 E 6th St, Tishomingo, OK 73460-1800 | 2016-09-12 |
1730530932 | Tammy Holder | Nurse Practitioner | 817 E 6th St, Tishomingo, OK 73460-1800 | 2016-06-29 |
1184028540 | Courtney Alisha Airington | Nurse Practitioner | 817 E 6th St, Tishomingo, OK 73460-1800 | 2014-10-14 |
1487918553 | Clayton Andrew Garrett | Family Medicine | 817 E 6th St, Tishomingo, OK 73460 | 2012-07-03 |
1750406757 | Chickasaw Nation Division of Health | Pharmacy | 817 E 6th St, Tishomingo, OK 73460-1800 | 2007-03-20 |
1962546150 | Kenneth Leslie Cone | Dentist | 817 E 6th St, Tishomingo, OK 73460 | 2007-02-19 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912380742 | Lori Pigg | Speech-Language Pathologist | 508 N. Neshoba, Tishomingo, OK 73460 | 2015-06-29 |
1407241748 | Brittany Walker | Case Management | 850 E. Highway 22, Tishomingo, OK 73460 | 2015-04-03 |
1427460641 | Elizabeth Mcdonald | Counselor | 512 East 24th, Tishomingo, OK 73460 | 2014-05-22 |
1619387131 | Sheri Slaughter | Counselor | 102 N. Neshoba, Tishomingo, OK 73460 | 2014-05-06 |
1336559848 | Heather Marlatt | Counselor | 102 North Neshoba, Tishomingo, OK 73460 | 2014-05-06 |
1811231939 | Wanda Luann Beesley Gray | Emergency Medical Technician, Paramedic | 3100 E St Hwy 78, Tishomingo, OK 73460 | 2012-11-15 |
1497014724 | Jessica Kay Johnston | Counselor | Outpatient Services-tishomingo; 817 E. 6th St., Strong Family Development, Tishomingo, OK 73460 | 2012-05-07 |
1487910949 | Rhonda Gayle Harrison | Counselor | 817 E. 6th St., Medical Family Therapy, Tishomingo, OK 73460 | 2012-04-09 |
1265704183 | Parks Family Dental | Preferred Provider Organization | 1520 E. Main Street, Tishomingo, OK 73460 | 2012-02-08 |
1770852295 | Gina Marice Frazier | Social Worker | Outpatient Services- Tishomingo, 817 E. 6th St., Tishomingo, OK 73460 | 2011-12-29 |
Find all providers in zip 73460 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598140212 | Family Health Center of Southern Oklahoma, Inc | Clinic/Center | 610 E 24th St, Tishomingo, OK 73460-3245 | 2015-07-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609476654 | Team Clinic Management Partners LLC | Clinic/Center | 372 N Cobb, Caney, OK 74533 | 2020-10-29 |
1184222705 | Essential Md, Pllc | Clinic/Center | 6316 E 102nd St Ste 100, Tulsa, OK 74137-7061 | 2020-10-15 |
1881292191 | Team Clinic Management Partners LLC | Clinic/Center | 3100 W New Orleans St, Broken Arrow, OK 74011-1468 | 2020-10-09 |
1972115392 | Team Clinic Management Partners LLC | Clinic/Center | 225 E Omaha St, Broken Arrow, OK 74012-1761 | 2020-08-18 |
1093327413 | Team Clinic Management Partners LLC | Clinic/Center | 301 W New Orleans St, Broken Arrow, OK 74011-2206 | 2020-08-18 |
1962013110 | Team Clinic Management Partners LLC | Clinic/Center | 4300 E Gary Street, Broken Arrow, OK 74014 | 2020-08-12 |
1750992038 | Team Clinic Management Partners LLC | Clinic/Center | 251 E Omaha St, Broken Arrow, OK 74012-1761 | 2020-08-11 |
1689285975 | Team Clinic Management Partners LLC | Clinic/Center | 301 E Tucson St, Broken Arrow, OK 74011-7235 | 2020-08-11 |
1417568700 | Team Clinic Management Partners LLC | Clinic/Center | 1351 E Albany St, Broken Arrow, OK 74012-8995 | 2020-08-11 |
1164033569 | Team Clinic Management Partners LLC | Clinic/Center | 6800 E Quincy Pl, Broken Arrow, OK 74014-4523 | 2020-08-11 |
Find all providers with the same taxonomy |
City | TISHOMINGO |
Zip Code | 73460 |
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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.