INDIAN HEALTH SERVICE-WEWOKA (NPI# 1225483522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225483522 |
| Entity Type | Organization |
| Organization Name | INDIAN HEALTH SERVICE-WEWOKA |
| Practice Address |
Jct Hwys 56 & 270 Wewoka OK 74884 |
| Mailing Address |
Jct Hwys 56 & 270 Wewoka OK 74848 |
| Practice Telephone | 4052577361 |
| Mailing Telephone | 4052577361 |
| Enumeration Date | 2016-04-25 |
| Last Update Date | 2016-04-25 |
| Authorized Official Name | TRACY FARRILL (CHIEF PHARMACIST) |
| Authorized Official Telephone | 4052577345 |
| Authorized Official Credential | PHARM D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP0904X |
Clinic/Center Specialization: Public Health, Federal |
VA0202205912 | VA | Ambulatory Health Care Facilities |
| Street Address |
JCT HWYS 56 & 270 |
| City | WEWOKA |
| State | OK |
| Zip Code | 74884 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841798626 | Luvey Deatherage | Physician Assistant | 36640 Old Hwy 270, Wewoka, OK 74884 | 2018-01-26 |
| 1730604422 | Robert Adarme Montanez | Pharmacist | 36640 Hwy 270 Barking Water Rd, Wewoka, OK 74884 | 2017-08-03 |
| 1447788484 | Domika Kinman | Dental Hygienist | 36640 Highway 270, Wewoka, OK 74884 | 2017-06-02 |
| 1942737101 | Aaron Jahmal Johnson | Pharmacist | 36640 Hwy 270 and Barking Water Road, Wewoka, OK 74884 | 2017-05-18 |
| 1912434689 | Shannon Lowe | Pharmacist | 36640 Hwy 270 & Barkingwater Rd, Wewoka, OK 74884 | 2017-05-12 |
| 1093184145 | East Central Oklahoma Family Health Center, Inc. | Clinic/Center | 121 N. Mekusukey Avenue, Wewoka, OK 74884 | 2015-09-18 |
| 1841667441 | Chandler Hall | Dentist | Hwy 56 and 270 Jct, Wewoka, OK 74884 | 2015-08-31 |
| 1285989459 | Sherry Goines Loving | Counselor | 221 N. Wewoka Ave, Wewoka, OK 74884 | 2012-07-13 |
| 1053681346 | Misty Smith | Dental Hygienist | Hwy 270 & 56 Jct, Wewoka, OK 74884 | 2012-01-04 |
| 1922308030 | Alicia Ann Boatright | Registered Nurse | Us Highway 56 & 270 Junction, Wewoka, OK 74884 | 2010-10-25 |
| Find all providers in zip 74884 | ||||
| Taxonomy Code | 261QP0904X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Public Health, Federal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073968855 | Usphs/ihs/wewoka Indian Health Clinic | Clinic/Center | 36640 Hwy 270, Wewoka, OK 74884-1475 | 2016-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700977808 | Dhhs Us Public Health Service Indian Health Service | Clinic/Center | 101s Moore Ave, Claremore, OK 74017-5047 | 2006-09-27 |
| 1457459158 | Carnegie Indian Health Center | Clinic/Center | 212 E. 4th Street, Carnegie, OK 73015 | 2006-09-20 |
| 1881637403 | Anadarko Indian Health Center | Clinic/Center | 201 E Parker Mckenzie Drive, Anadarko, OK 73005-5009 | 2006-06-13 |
| 1831174085 | Oklahoma City-county Health Department | Clinic/Center | 921 Ne 23rd St, Oklahoma City, OK 73105-7936 | 2005-12-09 |
| 1750680765 | Us Public Health Service Indian Health | Clinic/Center | Rr 1 Box 3060, Clinton, OK 73601-9303 | 2011-03-17 |
| 1114044369 | Oklahoma State Department of Health | Clinic/Center | 1000 Ne 10th St, Oklahoma City, OK 73117-1207 | 2007-03-23 |
| 1205923448 | Clinton Indian Health Center | Clinic/Center | 10321 N 2274 Rd, Clinton, OK 73601-7521 | 2006-10-09 |
| 1104912674 | Tulsa City-county Health Department | Clinic/Center | 315 S Utica Ave, Tulsa, OK 74104-2203 | 2006-10-04 |
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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.