CHICKASAW NATION DIVISION OF HEALTH CHICKASAW NATION MEDICAL CENTER


Address: 817 E 6th St, Tishomingo, OK 73460-1800
Phone: 5803712392

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Chickasaw Nation Tishomingo Clinic Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 817 E 6TH ST
City TISHOMINGO
State OK
Zip Code 73460-1800

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

Search similar providers

City TISHOMINGO
Zip Code 73460

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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