CHEROKEE NATION (NPI# 1790030369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790030369 |
| Entity Type | Organization |
| Organization Name | CHEROKEE NATION |
| Other Organization Name | VINITA HEALTH CENTER PHARMACY |
| Practice Address |
27371 S 4410 Rd Vinita OK 74301-7953 |
| Mailing Address |
Dept 2269 Tulsa OK 74182-0001 |
| Practice Telephone | 9182564848 |
| Practice Fax Number | 9182564594 |
| Mailing Telephone | 9184535636 |
| Enumeration Date | 2012-07-19 |
| Last Update Date | 2016-01-22 |
| Authorized Official Name | IVANNE CHIOVOLONI (CLINICAL PHARMACIST) |
| Authorized Official Telephone | 9182073987 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
| Y | 332800000X | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 37-6011 | OK | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100239190B | 05 | |
| PK | 2136086 | 01 |
| Other Name | Type Code |
|---|---|
| Vinita Health Center Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356787444 | Cherokee Nation | Clinic/Center | 1277 Skill Center Cir, Tahlequah, OK 74464-6495 | 2013-05-15 |
| 1326294968 | Cherokee Nation | Pharmacy | 19600 North Ross Street, Tahlequah, OK 74464 | 2008-08-14 |
| 1801803846 | Cherokee Nation | Durable Medical Equipment & Medical Supplies | 301 S J T Stites St, Sallisaw, OK 74955-9302 | 2006-08-02 |
| 1093722324 | Cherokee Nation | Clinic/Center | 16944 W Cherokee, Tahlequah, OK 74464-5539 | 2006-08-01 |
| 1659388965 | Cherokee Nation | Clinic/Center | 859 E. Melton Drive, Jay, OK 74346-4205 | 2006-08-01 |
| 1649216441 | Cherokee Nation | Durable Medical Equipment & Medical Supplies | 1020 Lenape Dr, Nowata, OK 74048-4403 | 2006-06-21 |
| 1588667760 | Cherokee Nation | Ambulance | 22114 S Bald Hill Rd, Tahlequah, OK 74464-1519 | 2005-05-23 |
| 1346623584 | Cherokee Nation | Pharmacy | 100 S Bliss Ave, Tahlequah, OK 74464-2512 | 2015-07-07 |
| 1871972430 | Cherokee Nation | Clinic/Center | 395200 W 2900 Rd, Ochelata, OK 74051-2463 | 2015-05-28 |
| 1629476221 | Cherokee Nation | Pharmacy | 395200 W 2900 Rd, Ochelata, OK 74051-2463 | 2014-12-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | CHEROKEE NATION 22ND CENTURY, L.L.C. | 777 W Cherokee St Corp Bldg 2, Catoosa, OK 74015 |
| Colorado Business Entities | Cherokee Nation 3S, L.L.C. | 777 W Cherokee St, Catoosa, OK 74015 |
| Oklahoma Business Registrations | CHEROKEE NATION 3S, L.L.C. | 777 W Cherokee, Catoosa, OK 74015 |
| System for Award Management (SAM) Entities | CHEROKEE NATION AEROSPACE AND DEFENSE, L.L.C. | 2777 Highway 69a, Pryor, OK 74361-4565 |
| Colorado Business Entities | Cherokee Nation Aerospace and Defense, L.L.C. | 777 W. Cherokee Street, Catoosa, OK 74015 |
| Oklahoma Business Registrations | CHEROKEE NATION AEROSPACE AND DEFENSE, L.L.C. | Rt. 3 Box 498, Stilwell, OK 74960 |
| System for Award Management (SAM) Entities | CHEROKEE NATION ASSURANCE, L.L.C. | 777 W Cherokee St, Catoosa, OK 74015-3235 |
| Oregon Corporations, Companies and Business Names | CHEROKEE NATION ASSURANCE, L.L.C. | 777 W Cherokee Street, Corp Bldg 2, Catoosa, OK 74015 |
| Washington State Corporations | CHEROKEE NATION ASSURANCE, L.L.C. | 777 W Cherokee St, Corp. Bldg. 2, Catoosa, OK 74015 |
| Colorado Business Entities | Cherokee Nation Assurance, L.L.C. | 777 W. Cherokee Street, Corp. Bldg. 2, Catoosa, OK 74015 |
| Street Address |
27371 S 4410 RD |
| City | VINITA |
| State | OK |
| Zip Code | 74301-7953 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841286499 | Michael Shawn Sanders | Pharmacist | 27371 S 4410 Rd, Vinita, OK 74301-7953 | 2005-09-20 |
| 1831705532 | Shelbi Denise Kulchinski | Dietitian, Registered | 27371 S 4410 Rd, Vinita, OK 74301-7953 | 2020-09-17 |
| 1528686664 | Jocelyn Lynn Couch | Student in an Organized Health Care Education/Training Program | 27371 S 4410 Rd, Vinita, OK 74301-7953 | 2020-07-06 |
| 1518581636 | Angela Boston | Pharmacist | 27371 S 4410 Rd, Vinita, OK 74301-7953 | 2020-06-04 |
| 1619599511 | Kevin Lee Dale | Student in an Organized Health Care Education/Training Program | 27371 S 4410 Rd, Vinita, OK 74301-7953 | 2020-05-13 |
| 1740813971 | Whitney Henry | Dietitian, Registered | 27371 S 4410 Rd, Vinita, OK 74301-7953 | 2020-02-17 |
| 1861956484 | Heather Renee Koger | Licensed Practical Nurse | 27371 S 4410 Rd, Vinita, OK 74301-7953 | 2019-01-28 |
| 1548747272 | Caitlin Brooke Chevalier | Optometrist | 27371 S 4410 Rd, Vinita, OK 74301-7953 | 2018-07-25 |
| 1215428941 | Amber Lynne Cantrell | Dentist | 27371 S 4410 Rd, Vinita, OK 74301-7953 | 2018-05-30 |
| 1043707581 | Emily Annemarie Mealin | Dietitian, Registered | 27371 S 4410 Rd, Vinita, OK 74301-7953 | 2018-04-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336740786 | Jennifer Lynn Black | Registered Nurse | 24919 S 4420 Road, Vinita, OK 74301 | 2020-11-03 |
| 1720686272 | Chancie Marie Cooper | Case Manager/Care Coordinator | 444 737 Hwy 28, Vinita, OK 74301 | 2020-10-15 |
| 1265082515 | Ruth Irving | Technician | 843 North Miller, Vinita, OK 74301 | 2019-09-18 |
| 1952897449 | Sarah Renee Gilmore | Behavior Technician | 526 N. Brewer, Vinita, OK 74301 | 2018-07-08 |
| 1134664683 | Sheila Mason | Nurse Practitioner | Department of Veterans Affairs Clinic, 269 South 7th Street, Vinita, OK 74301 | 2016-12-19 |
| 1881145274 | Saint Francis Hospital Vinita, Inc | Clinic/Center | 711 North Brewer Street, Vinita, OK 74301 | 2016-10-20 |
| 1699147249 | Beth Powell | Peer Specialist | 405 East Excelsior Ave, Vinita, OK 74301 | 2015-10-22 |
| 1790196202 | Peter Rausch | Psychologist | 735 N. Foreman St., Vinita, OK 74301 | 2014-05-19 |
| 1548605041 | Anita Joy Cantrell | Counselor | 1520 North Industrial Ave, Vinita, OK 74301 | 2013-05-10 |
| 1033469606 | Matt Lance Oldacre | Pharmacist | 525 S. Wilson, Vinita, OK 74301 | 2012-09-11 |
| Find all providers in zip 74301 | ||||
| Taxonomy Code | 332800000X |
| Grouping | Suppliers |
| Classification | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
| An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603. |
| Notes: Source: The Medicare Prescription Drug, Improvement and Modernization Act of 2003 [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639472970 | Carnegie Indian Health Clinic | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 212 E. 4th St, Carnegie, OK 73015 | 2010-12-08 |
| 1568512374 | Wewoka Ihs Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | Intersection of Hwy 56 and 270, Wewoka, OK 74884 | 2007-01-12 |
| 1316097389 | Anadarko Ihs Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 115 Ne Old Town Rd, Anadarko, OK 73005-5009 | 2007-01-11 |
| 1538219431 | El Reno Ihs Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 1801 Parkview Drive, El Reno, OK 73632 | 2007-01-11 |
| 1871663203 | Sac & Fox Nation | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 356110 E 930 Rd, Stroud, OK 74079-5184 | 2006-11-09 |
| 1699790543 | Li-si-wi-nwi Health, Inc | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 15951 Little Axe Drive, Norman, OK 73026-9001 | 2006-07-13 |
| 1952303190 | Pawhuska Ihs Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 715 Grandview Ave, Pawhuska, OK 74056-3201 | 2005-06-01 |
| 1568839470 | Osage Nation | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 715 Grandview Ave, Pawhuska, OK 74056-3201 | 2015-08-26 |
| 1295142115 | Choctaw Nation of Oklahoma | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 1801 Chukka Hina, Durant, OK 74701 | 2014-07-14 |
| 1598053993 | Citizen Potawatomi Nation West Clinic | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 781 Grand Casino Blvd, Shawnee, OK 74804-1005 | 2011-07-19 |
| 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.