CHEROKEE NATION (NPI# 1871972430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871972430 |
| Entity Type | Organization |
| Organization Name | CHEROKEE NATION |
| Other Organization Name | COOWEESCOOWEE HEALTH CENTER |
| Practice Address |
395200 W 2900 Rd Ochelata OK 74051-2463 |
| Mailing Address |
Po Box 1069 Tahlequah OK 74465-1069 |
| Practice Telephone | 9185356000 |
| Mailing Telephone | 9184535765 |
| Mailing Fax Number | 9184584495 |
| Enumeration Date | 2015-05-28 |
| Last Update Date | 2018-04-19 |
| Authorized Official Name | DR. CHARLES GRIM (EXECUTIVE DIRECTOR, HEALTH SERVICES) |
| Authorized Official Telephone | 9184583100 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | MEDICARE PART A | 370171 | 01 |
| Other Name | Type Code |
|---|---|
| Cooweescoowee Health Center | Other Name - Individual/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 |
| 1629476221 | Cherokee Nation | Pharmacy | 395200 W 2900 Rd, Ochelata, OK 74051-2463 | 2014-12-12 |
| 1790030369 | Cherokee Nation | Pharmacy | 27371 S 4410 Rd, Vinita, OK 74301-7953 | 2012-07-19 |
| 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 |
395200 W 2900 RD |
| City | OCHELATA |
| State | OK |
| Zip Code | 74051-2463 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053430512 | Gregory S. Brooks | Family Medicine | 395200 W 2900 Rd, Ochelata, OK 74051-2463 | 2007-03-28 |
| 1972067585 | Kayla Horton | Licensed Practical Nurse | 395200 W 2900 Rd, Ochelata, OK 74051-2463 | 2019-01-28 |
| 1205310349 | Shaunda Stanley | Registered Nurse | 395200 W 2900 Rd, Ochelata, OK 74051 | 2018-09-24 |
| 1366839029 | Kellye Parker | Pharmacist | 395200 W 2900 Rd, Ochelata, OK 74501 | 2015-04-21 |
| 1629476221 | Cherokee Nation | Pharmacy | 395200 W 2900 Rd, Ochelata, OK 74051-2463 | 2014-12-12 |
| 1619243888 | Amanda Bighorse | Family Medicine | 395200 W 2900 Rd, Ochelata, OK 74051-2463 | 2012-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700324209 | Angela Mackey | Counselor | 396301 W Rd 3000, Ochelata, OK 74051 | 2017-02-03 |
| 1578123022 | Tracy Lyne Coquillette | Case Manager/Care Coordinator | 28788 N 3964 Rd, Ochelata, OK 74051-2049 | 2019-06-17 |
| 1912354069 | Bridget Shook | Case Manager/Care Coordinator | 30615 N 3950 Rd, Ochelata, OK 74051-2417 | 2016-05-18 |
| 1326566001 | Minor Pediatrics Kristie Minor Aprn-cnp Pllc | Nurse Practitioner | 29334 N 3950 Rd, Ochelata, OK 74051-2485 | 2017-09-01 |
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 1568021459 | Healthworks Medical Group of Oklahoma P C | Clinic/Center | 915 E Owen K Garriott Rd Ste 202, Enid, OK 73701-6156 | 2019-06-13 |
| 1356803308 | Saint Medical Group, LLC | Clinic/Center | 2315 Parkview Dr Ste 2a, El Reno, OK 73036-2149 | 2019-04-01 |
| 1992267959 | Saint Medical Group, LLC | Clinic/Center | 2315 Parkview Dr Ste 2b, El Reno, OK 73036-2149 | 2019-04-01 |
| 1831698752 | Healthworks Medical Group of Oklahoma P C | Clinic/Center | 109 Ne 40th St, Oklahoma City, OK 73105-2415 | 2018-02-06 |
| 1386185353 | Neuropathy Treatment Clinic of Oklahoma LLC | Clinic/Center | 1810 E 15th St Ste D, Tulsa, OK 74104-4611 | 2017-03-10 |
| 1942757554 | Seiling Municipal Hospital Authority | Clinic/Center | 809 Ne Hwy 60, Seiling, OK 73663 | 2016-09-01 |
| 1255784393 | Kmz Medical Solutions, Pllc | Clinic/Center | 800 W. St., Ste 102-c, Edmond, OK 73013-7920 | 2016-07-13 |
| 1417303801 | Paradigm Hormones Tulsa, Pllc | Clinic/Center | 6316 E 102nd St, Tulsa, OK 74137-7061 | 2016-05-04 |
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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.