SAC & FOX NATION (NPI# 1871663203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871663203 |
| Entity Type | Organization |
| Organization Name | SAC & FOX NATION |
| Practice Address |
356110 E 930 Rd Stroud OK 74079-5184 |
| Practice Telephone | 9189689531 |
| Practice Fax Number | 9189689057 |
| Mailing Telephone | 9189689531 |
| Mailing Fax Number | 9189689057 |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2019-09-12 |
| Authorized Official Name | SHERI BROWN (BUSINESS OFFICE MANAGER) |
| Authorized Official Telephone | 9189689531 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332800000X | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | Suppliers | ||
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | BCBS OF OKLAHOMA | 730078966-001 | 01 |
| OK | 100729660A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083821011 | Sac & Fox Nation | Clinic/Center | Rr 2 Box 247, Stroud, OK 74079-9652 | 2007-05-17 |
| 1366455420 | Sac & Fox Nation | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | Rr 2 Box 247, Stroud, OK 74079-9652 | 2006-08-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SAC & FOX NATION | 920883 S Hwy 99 Bldg A, Stroud, OK 74079-5178 |
| Street Address |
356110 E 930 RD |
| City | STROUD |
| State | OK |
| Zip Code | 74079-5184 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629569959 | Tammy Hobbie | Physician Assistant | 356110 E 930 Rd, Stroud, OK 74079-5184 | 2018-05-22 |
| 1699296905 | Camaron Eugene Snider | Pharmacist | 356110 E 930 Rd, Stroud, OK 74079-5184 | 2017-06-28 |
| 1679942585 | Jayne Deanne Fortenberry | Nurse Practitioner | 356110 E 930 Rd, Stroud, OK 74079-5184 | 2015-09-21 |
| 1881091833 | Elizabeth Burgess | Dietitian, Registered | 356110 E 930 Rd, Stroud, OK 74079-5184 | 2014-11-19 |
| 1437553476 | Gregory Dunlevy | Physical Therapist | 356110 E 930 Rd, Stroud, OK 74079-5184 | 2014-10-20 |
| 1386070530 | Tyler Austin Rolette | Physical Therapist | 356110 E 930 Rd, Stroud, OK 74079-5184 | 2013-09-19 |
| 1396095360 | Kathy Song | Physician Assistant | 356110 E 930 Rd, Stroud, OK 74079-5184 | 2012-09-17 |
| 1629337753 | Stephen Johnston | Physician Assistant | 356110 E 930 Rd, Stroud, OK 74079-5184 | 2012-05-09 |
| 1851665780 | Sharlyn Kennon | Community Health Worker | 356110 E 930 Rd, Stroud, OK 74079-5184 | 2012-02-23 |
| 1689880916 | Deanna F. Densman | Counselor | 356110 E 930 Rd, Stroud, OK 74079-5184 | 2007-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649710369 | Daniel Hall | Nurse Practitioner | 2308 Ok-66, Stroud, OK 74079 | 2017-02-28 |
| 1407106636 | Danita Kollars | Counselor | 256110 E. 930 Rd, Stroud, OK 74079 | 2012-09-14 |
| 1790798411 | Dental Designs of Stroud | Dentist | 401 W Main, Stroud, OK 74079 | 2006-08-14 |
| 1720019953 | Fidelity Health Care Consultants, P.C. | Clinic/Center | 320 North 4th Ave., Stroud, OK 74079 | 2006-07-05 |
| 1205836061 | Thomas Seymour Henry | Internal Medicine | Route 2 Box 247, Black Hawk Health Center, Stroud, OK 74079 | 2005-07-22 |
| 1275934283 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1600 W Highway 66, Stroud, OK 74079-2804 | 2014-09-09 |
| 1548603855 | Jennifer Dae Arvizu | Occupational Therapy Assistant | 218 W 5th St, Stroud, OK 74079-3419 | 2013-04-17 |
| 1073030243 | John Daniel Neal | Counselor | 501 N 1st Ave, Stroud, OK 74079-3446 | 2017-08-28 |
| 1508999145 | Timothy D Moore Od PC | Optometrist | 109 W Main St, Stroud, OK 74079-3607 | 2007-03-13 |
| 1417935008 | Timothy Dean Moore | Optometrist | 109 W Main St, Stroud, OK 74079-3607 | 2006-01-04 |
| Find all providers in zip 74079 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073969358 | One Cura Family Clinic-stroud, Inc. | Clinic/Center | 2308b W Highway 66, Stroud, OK 74079-6729 | 2016-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275471 | Osu Center for Health Sciences | Clinic/Center | 1 E Clark Bass Blvd Ste 201, Mcalester, OK 74501-4209 | 2020-11-06 |
| 1427662170 | Osu Center for Health Sciences | Clinic/Center | 802 S Jackson Ave Ste 410, Tulsa, OK 74127-9059 | 2020-09-01 |
| 1154949642 | Osu Center for Health Sciences | Clinic/Center | 140 W 151st St S, Glenpool, OK 74033-4523 | 2020-07-10 |
| 1235757071 | Equality Health Group LLC | Clinic/Center | 4301 Nw 63rd St Ste 109, Oklahoma City, OK 73116-1548 | 2020-07-08 |
| 1538785985 | Stars and Stripes Therapy Inc. | Clinic/Center | 713 Sw C Ave Ste A, Lawton, OK 73501-4311 | 2020-06-22 |
| 1265058101 | Taylor Medical Group, LLP | Clinic/Center | 735 W Locust St, Stilwell, OK 74960-3403 | 2020-06-16 |
| 1891317731 | Sparks Medical Consulting LLC | Clinic/Center | 1604 Sw 38th St, Moore, OK 73160-2953 | 2020-05-14 |
| 1093341844 | Osu Center for Health Sciences | Clinic/Center | 3201 W Gore Blvd Ste G2, Lawton, OK 73505-6323 | 2020-03-12 |
| 1255964128 | Osu Center for Health Sciences | Clinic/Center | 110 Nw 31st St Fl 3, Lawton, OK 73505-6100 | 2020-02-19 |
| 1104458231 | Osu Center for Health Sciences | Clinic/Center | 6501 S Western Ave Ste 101, Oklahoma City, OK 73139-1709 | 2020-02-06 |
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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.