CHICKASAW NATION DIVISION OF HEALTH CHICKASAW NATION MEDICAL CENTER (NPI# 1730249186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730249186 |
| Entity Type | Organization |
| Organization Name | CHICKASAW NATION DIVISION OF HEALTH CHICKASAW NATION MEDICAL CENTER |
| Other Organization Name | CHICKASAW NATION ARDMORE CLINIC |
| Practice Address |
2510 Chickasaw Blvd Ardmore OK 73401-1341 |
| Mailing Address |
1925 Warrior Way Ada OK 74820 |
| Practice Telephone | 5802268181 |
| Practice Fax Number | 5804214552 |
| Mailing Telephone | 5804214570 |
| Mailing Fax Number | 5804216283 |
| Enumeration Date | 2006-12-08 |
| 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 Ardmore 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 |
| 1649330242 | Chickasaw Nation Division of Health Chickasaw Nation Medical Center | Clinic/Center | 817 E 6th St, Tishomingo, OK 73460-1800 | 2006-12-12 |
| 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 |
| 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 |
2510 CHICKASAW BLVD |
| City | ARDMORE |
| State | OK |
| Zip Code | 73401-1341 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902879356 | Daniel Woods | Optometrist | 2510 Chickasaw Blvd, Ardmore, OK 73401-1341 | 2006-02-08 |
| 1700308194 | Melinda Kelsey | Dietitian, Registered | 2510 Chickasaw Blvd, Ardmore, OK 73401 | 2017-07-07 |
| 1316324809 | Paula Hunter | Physical Therapy Assistant | 2510 Chickasaw Blvd, Ardmore, OK 73401-1341 | 2015-05-04 |
| 1811205925 | Tasha Renee Preston | Nurse Practitioner | 2510 Chickasaw Blvd, Ardmore, OK 73401 | 2010-09-23 |
| 1336477728 | Tamara Rae Brunk | Clinical Nurse Specialist | 2510 Chickasaw Blvd, Ardmore, OK 73401 | 2009-11-24 |
| 1386815421 | Jean Suzanne Cannon | General Practice | 2510 Chickasaw Blvd, Ardmore, OK 73401 | 2008-03-17 |
| 1285832436 | Lucille Way | Nurse Practitioner | 2510 Chickasaw Blvd, Ardmore, OK 73401-1341 | 2007-07-10 |
| 1053516781 | David Harris | Dentist | 2510 Chickasaw Blvd, Ardmore, OK 73401-1341 | 2007-06-21 |
| 1952515967 | Joel Herschler | Dentist | 2510 Chickasaw Blvd, Ardmore, OK 73401 | 2007-05-09 |
| 1669597027 | Chickasaw Nation Division of Health | Pharmacy | 2510 Chickasaw Blvd, Ardmore, OK 73401-1341 | 2007-03-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497391452 | Abbie Deeann Mclemore | Nurse Practitioner | 915 10th Ave, Ardmore, OK 73401 | 2019-11-25 |
| 1790349991 | Shirley Denise Brown | Licensed Psychiatric Technician | 1219 Kst N.w, 1219 Kst N.w, Ardmore, OK 73401 | 2019-04-24 |
| 1427512359 | Billy Joe Oshields | Case Manager/Care Coordinator | 6862 State Hwy 199 Ardmore Oklahoma, 6862 State Hwy 199, Ardmore, OK 73401 | 2019-01-24 |
| 1174007595 | Tawnya Dawn Peery | Nurse Practitioner | 1108 W. Walnut Drive, Ardmore, OK 73401 | 2018-09-21 |
| 1679055016 | Teresa Marie Hernandez | Behavior Technician | 1219 K St. Nw, Ardmore, OK 73401 | 2018-09-01 |
| 1063991974 | Sawyer Rae Shamburger | Occupational Therapy Assistant | 208 North Praire St, Pilot Point, TX 73401 | 2018-08-10 |
| 1417473521 | Chelsye Bacon | Peer Specialist | 905 Holiday Drive, Ardmore, OK 73401 | 2017-08-21 |
| 1003279746 | Jeni Presley | Marriage & Family Therapist | Outpatient Services-ardmore; 2510 Chickasaw Dr., Strong Family Development;, Ardmore, OK 73401 | 2016-03-31 |
| 1982080909 | Alison Hill | Pharmacist | 1111 N. Commerce, Ardmore, OK 73401 | 2015-07-31 |
| 1316346547 | Olivia Larae Carrell | Counselor | 15 Monroe Street Ne, Ardmore, OK 73401 | 2014-08-13 |
| Find all providers in zip 73401 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093379331 | Healthworks Medical Group of Oklahoma P C | Clinic/Center | 404 S Commerce St, Ardmore, OK 73401-5010 | 2019-04-23 |
| 1962510032 | Southward Family Medicine | Clinic/Center | 1115 Walnut Dr, Ardmore, OK 73401-2354 | 2006-08-28 |
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|---|---|---|---|---|
| 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 | ||||
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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.