DHHS US PUBLIC HEALTH SERVICE INDIAN HEALTH SERVICE (NPI# 1700977808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700977808 |
| Entity Type | Organization |
| Organization Name | DHHS US PUBLIC HEALTH SERVICE INDIAN HEALTH SERVICE |
| Other Organization Name | PAWHUSKA INDIAN HEALTH CENTER |
| Practice Address |
101s Moore Ave Claremore OK 74017-5047 |
| Mailing Address |
715 Grandview Ave Pawhuska OK 74056 |
| Practice Telephone | 9182874491 |
| Practice Fax Number | 9182872347 |
| Mailing Telephone | 9182874491 |
| Mailing Fax Number | 9182872347 |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2009-08-31 |
| Authorized Official Name | MRS. AMY D EDEN (BUSINESS OFFICE MANAGER) |
| Authorized Official Telephone | 9182874491 |
| Authorized Official Credential | MPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP0904X |
Clinic/Center Specialization: Public Health, Federal |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100689200D | 05 | |
| OK | MEDICAID CAP | 100700620N | 01 |
| OK | MEDICAID RX | 100231960F | 01 |
| Other Name | Type Code |
|---|---|
| Pawhuska Indian Health Center | Doing Business As Name - Organization |
| Street Address |
101S MOORE AVE |
| City | CLAREMORE |
| State | OK |
| Zip Code | 74017-5047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336763127 | Randye Knott | Physical Therapist | 99224 S. Brady St. Suite 109, Claremore, OK 74017 | 2020-06-08 |
| 1538794854 | Katie Ann Osburn | Peer Specialist | 12005 E 490 Rd, Claremore, OK 74017 | 2020-03-06 |
| 1174185144 | Jamie Lynn Bell | Dentist | 1222 N. Florence Ave, Claremore, OK 74017 | 2019-07-01 |
| 1508326877 | Cheri L Doyle | Social Worker | Foundation Behavioral Health, 1218 N Florence Ave Suite 1218b, Claremore, OK 74017 | 2019-03-22 |
| 1487144374 | Kimberly Gale Henry | Case Manager/Care Coordinator | 16305 E Grand Meadow Dr., Claremore, OK 74017 | 2018-05-16 |
| 1912449836 | Katie Jentry Greenwell | Case Manager/Care Coordinator | 423 N. Seminole, Claremore, OK 74017 | 2016-11-09 |
| 1598219347 | Spring Dental Claremore | Dentist | 504 S. Lynn Riggs Blvd., Ste #100, Claremore, OK 74017 | 2016-08-10 |
| 1811366701 | Alonna Adair-triplett | Registered Nurse | 101 S. Moore, Claremore, OK 74017 | 2015-09-21 |
| 1992135719 | Jordan Nicole Martin | Behavioral Analyst | 24797 Oklahoma 66, Claremore, OK 74017 | 2013-11-14 |
| 1992059398 | Wood Manor, Inc. | Alzheimer Center (Dementia Center) | 2800 N. Hickory, Claremore, OK 74017 | 2012-11-07 |
| Find all providers in zip 74017 | ||||
| Taxonomy Code | 261QP0904X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Public Health, Federal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073968855 | Usphs/ihs/wewoka Indian Health Clinic | Clinic/Center | 36640 Hwy 270, Wewoka, OK 74884-1475 | 2016-04-28 |
| 1225483522 | Indian Health Service-wewoka | Clinic/Center | Jct Hwys 56 & 270, Wewoka, OK 74884 | 2016-04-25 |
| 1457459158 | Carnegie Indian Health Center | Clinic/Center | 212 E. 4th Street, Carnegie, OK 73015 | 2006-09-20 |
| 1881637403 | Anadarko Indian Health Center | Clinic/Center | 201 E Parker Mckenzie Drive, Anadarko, OK 73005-5009 | 2006-06-13 |
| 1831174085 | Oklahoma City-county Health Department | Clinic/Center | 921 Ne 23rd St, Oklahoma City, OK 73105-7936 | 2005-12-09 |
| 1750680765 | Us Public Health Service Indian Health | Clinic/Center | Rr 1 Box 3060, Clinton, OK 73601-9303 | 2011-03-17 |
| 1114044369 | Oklahoma State Department of Health | Clinic/Center | 1000 Ne 10th St, Oklahoma City, OK 73117-1207 | 2007-03-23 |
| 1205923448 | Clinton Indian Health Center | Clinic/Center | 10321 N 2274 Rd, Clinton, OK 73601-7521 | 2006-10-09 |
| 1104912674 | Tulsa City-county Health Department | Clinic/Center | 315 S Utica Ave, Tulsa, OK 74104-2203 | 2006-10-04 |
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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.