CHICKASAW NATION DIVISION OF HEALTH CHICKASAW NATION MEDICAL CENTER (NPI# 1790006112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790006112 |
| Entity Type | Organization |
| Organization Name | CHICKASAW NATION DIVISION OF HEALTH CHICKASAW NATION MEDICAL CENTER |
| Other Organization Name | CHICKASAW NATION MEDICAL CENTER |
| Practice Address |
1921 Stonecipher Blvd. Ada OK 74820-3439 |
| Mailing Address |
1925 Warrior Way Ada OK 74820 |
| Practice Telephone | 5804214570 |
| Practice Fax Number | 5804216283 |
| Mailing Telephone | 5804214570 |
| Enumeration Date | 2010-06-21 |
| Last Update Date | 2018-08-20 |
| 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 | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE # | 370180 | 01 |
| Other Name | Type Code |
|---|---|
| CHICKASAW NATION MEDICAL CENTER | 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 |
| 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 |
| 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 |
1921 STONECIPHER BLVD. |
| City | ADA |
| State | OK |
| Zip Code | 74820-3439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760542799 | Shannon Nicole Dial | Counselor | 1921 Stonecipher Blvd., Chickasaw Nation Medical Center, Ada, OK 74820 | 2006-12-11 |
| 1942703442 | Molly Beth Henry | Case Manager/Care Coordinator | 1921 Stonecipher Blvd., Medical Family Therapy, Ada, OK 74820 | 2018-03-12 |
| 1497201750 | Julie Dawn Wood | Counselor | 1921 Stonecipher Blvd., Chickasaw Nation Medical Center, Ada, OK 74820 | 2016-08-28 |
| 1730583519 | Natalie Evonne Parker | Marriage & Family Therapist | 1921 Stonecipher Blvd., Chickasaw Nation Medical Center, Ada, OK 74820 | 2014-10-22 |
| 1083016026 | Cassie Renee Sawatzky | Social Worker | 1921 Stonecipher Blvd., Chickasaw Nation Medical Center, Ada, OK 74820 | 2014-09-22 |
| 1184964181 | Casondra Laurie Millard | Counselor | 1921 Stonecipher Blvd., Chickasaw Nation Medical Center, Ada, OK 74820 | 2013-02-27 |
| 1588932719 | Amber Lyn Anderson | Marriage & Family Therapist | 1921 Stonecipher Blvd., Chickasaw Nation Medical Center, Ada, OK 74820 | 2011-12-02 |
| 1669773446 | Lacey Louise Farmer | Counselor | 1921 Stonecipher Blvd., Chickasaw Nation Medical Center, Ada, OK 74820 | 2010-11-09 |
| 1255652673 | Chickasaw Nation Division of Health Chickasaw Nation Medical Center | General Acute Care Hospital | 1921 Stonecipher Blvd., Ada, OK 74820-3439 | 2010-06-21 |
| 1508184847 | Jennifer Lee James | Audiologist | 1921 Stonecipher Blvd., Audiology Department, Ada, OK 74820 | 2010-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578103727 | Curry Orthopedics and Sports Medicine Pllc | Orthopaedic Surgery | 919 Colony Drive, Ada, OK 74820 | 2020-01-15 |
| 1215574603 | Miranda Denise Bowman | Counselor | 1300 Hoppe Blvd., Suite 5, Ada, OK 74820 | 2019-12-04 |
| 1326509654 | Patricia June Harjo | Case Manager/Care Coordinator | Nittak Himitta' Women's and Children's Recovery Center, 2024 Te Ata Drive, Ada, OK 74820 | 2019-03-28 |
| 1649737172 | Rylee Nikole Leblanc | Case Manager/Care Coordinator | 1119 S High School St, Ada, OK 74820 | 2019-02-20 |
| 1891251328 | David Kinback | Rehabilitation Counselor | 1400 Hoppe Blvd., Suite 3, Cn Recovery Resource Services, Ada, OK 74820 | 2019-02-20 |
| 1922571009 | Central Oklahoma Family Medical Center, Inc. | Pharmacy | 905 Colony Dr, Ada, OK 74820 | 2019-01-10 |
| 1063988673 | Central Oklahoma Family Medical Center, Inc | Clinic/Center | 905 Colony Drive Bldg, Ada, OK 74820 | 2018-10-22 |
| 1265907885 | Apex Surgery Center, LLC | Surgery | 2001 Cradduck Road, Ada, OK 74820 | 2018-10-10 |
| 1689150898 | Sabrina Simmons | Social Worker | 2516 Oakhurst Dr Apt E, Ada, OK 74820 | 2018-07-11 |
| 1700370467 | Brianna Leigh Youngwolfe | Nurse Practitioner | 2020 Arlington St Ste 6, Ada, OK 74820 | 2018-06-17 |
| Find all providers in zip 74820 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982863791 | Chickasaw Nation Division of Health/chickasaw Nation Medical Center | Clinic/Center | 1921 Stonecipher Dr, Ada, OK 74820-3439 | 2008-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508404922 | Ortho Central | Clinic/Center | 3400 W Tecumseh Rd Ste 301, Norman, OK 73072-1812 | 2019-12-16 |
| 1972156842 | Norman Regional Hospital Authority | Clinic/Center | 1125 N Porter Ave Ste 304, Norman, OK 73071-6443 | 2019-07-19 |
| 1508419474 | Norman Regional Hospital Authority | Clinic/Center | 3101 W Tecumseh Rd Ste 100, Norman, OK 73072-1816 | 2019-07-19 |
| 1023586252 | Mercy Hospital Oklahoma City Outpatient Surgery LLC | Clinic/Center | 3301 Nw 50th St Ste 200, Oklahoma City, OK 73112-5627 | 2018-11-06 |
| 1225497019 | Langley Holdings, LLC | Clinic/Center | 9840 E 81st St, Suite 200, Tulsa, OK 74133-4582 | 2016-02-22 |
| 1306214705 | Gsi Asc, LLC | Clinic/Center | 10210 E. 91st Street South, Tulsa, OK 74133 | 2015-09-02 |
| 1770968810 | Premier Anesthesia Management Inc | Clinic/Center | 19236 E Twin Creeks Dr, Owasso, OK 74055 | 2015-07-29 |
| 1033543863 | Weir Asc LLC | Clinic/Center | 9840 East 81 St, Suite 200, Tulsa, OK 74133 | 2013-08-28 |
| 1346510476 | Tulsa Ambulatory Procedure Center LLC | Clinic/Center | 2811 E 15th St Ste 101, Tulsa, OK 74104-5242 | 2012-01-05 |
| 1326335811 | Laser Spine Surgery Center of Oklahoma, LLC | Clinic/Center | 4727 Gaillardia Parkway, Suite 150, Oklahoma City, OK 73142 | 2011-07-05 |
| 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.