CHOCTAW NATION HEALTH CLINIC ATOKA (NPI# 1972769701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972769701 |
| Entity Type | Organization |
| Organization Name | CHOCTAW NATION HEALTH CLINIC ATOKA |
| Other Organization Name | CHOCTAW NATION HEALTH CLINIC ATOKA |
| Practice Address |
1201 W Liberty Rd Atoka OK 74525-1639 |
| Practice Telephone | 9185677000 |
| Practice Fax Number | 9185677041 |
| Mailing Telephone | 9185677000 |
| Mailing Fax Number | 9185677041 |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2013-05-07 |
| Authorized Official Name | MRS. TERESA K JACKSON (ADMINISTRATOR) |
| Authorized Official Telephone | 9185677000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | 57-5309 | OK | Ambulatory Health Care Facilities |
| Y | 332800000X | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 575309 | OK | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 3725326 | 01 | |
| OK | 100244980A | 05 |
| Other Name | Type Code |
|---|---|
| Choctaw Nation Health Clinic Atoka | Doing Business As Name - Organization |
| Street Address |
1201 W LIBERTY RD |
| City | ATOKA |
| State | OK |
| Zip Code | 74525-1639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902078728 | Choctaw Nation of Oklahoma | Clinic/Center | 1201 W Liberty Rd, Atoka, OK 74525-1639 | 2008-04-01 |
| 1285863878 | Joaquin Mauricio Forbes | Family Medicine | 1201 W Liberty Rd, Atoka, OK 74525-1639 | 2009-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396383493 | Brandi Genita Neese | Peer Specialist | 1097.2 S Farris Rd, Atoka, OK 74525 | 2019-12-19 |
| 1043739717 | Crystal Gossett | Student in an Organized Health Care Education/Training Program | 1680 S Greathouse Drive, Atoka, OK 74525 | 2017-09-14 |
| 1124544580 | Regina Pfaff | Student in an Organized Health Care Education/Training Program | 1680 S. Greathouse Drive, Atoka, OK 74525 | 2017-08-17 |
| 1730533860 | Wild Horse Counseling Service, LLC | Community/Behavioral Health | 1088 S Gin Rd., Atoka, OK 74525 | 2016-04-14 |
| 1740651801 | Aleisha Williams | Counselor | 101 S. Jefferson Hwy, Atoka, OK 74525 | 2015-10-15 |
| 1013383793 | Kay Banks | Student in an Organized Health Care Education/Training Program | 706 S. Greathouse Drive, Atoka, OK 74525 | 2015-08-17 |
| 1871977926 | Malinda Leann Mccall | Speech-Language Pathologist | 706 S Greathouse Drive, Atoka, OK 74525 | 2015-07-17 |
| 1467834069 | Christi Curry | Student in an Organized Health Care Education/Training Program | 800 South Greathouse Drive, Atoka, OK 74525 | 2015-06-19 |
| 1215318944 | Lauren Baker | Student in an Organized Health Care Education/Training Program | 706 South Greathouse Drive, Atoka, OK 74525 | 2015-06-18 |
| 1104210251 | Kheri Smith | Counselor | 1401 S Gin Rd, Atoka, OK 74525 | 2015-03-26 |
| Find all providers in zip 74525 | ||||
| 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.