CHICKASAW NATION DIVISION OF HEALTH (NPI# 1295399095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295399095 |
| Entity Type | Organization |
| Organization Name | CHICKASAW NATION DIVISION OF HEALTH |
| Practice Address |
1904 Carl Albert Blvd Ste B Ada OK 74820-3493 |
| Mailing Address |
1925 Warrior Way Ada OK 74820-3491 |
| Practice Telephone | 5802725710 |
| Practice Fax Number | 5802725711 |
| Mailing Telephone | 5802725710 |
| Mailing Fax Number | 5802725711 |
| Enumeration Date | 2019-04-26 |
| Last Update Date | 2019-04-26 |
| Authorized Official Name | ZACHARIAH F WILLIAMS (BILLING AND CONTRACTING SPECIALIST) |
| Authorized Official Telephone | 5802725710 |
| Authorized Official Credential | PHARM.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | CHICKASAW NATION DIVISION OF HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| Chickasaw Nation DME | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487715587 | Chickasaw Nation Division of Health | Pharmacy | 933 N Country Club Rd, Ada, OK 74820-2845 | 2006-12-12 |
| 1376652180 | Chickasaw Nation Division of Health | Technician/Technologist | 1005 N Country Club Rd, Ada, OK 74820-2847 | 2006-08-29 |
| 1174063903 | Chickasaw Nation Division of Health | Medicare Defined Swing Bed Unit | 1921 Stonecipher Blvd, Ada, OK 74820-3439 | 2017-02-27 |
| 1649593252 | Chickasaw Nation Division of Health | Pharmacy | 1921 Stonecipher Dr, Ada, OK 74820-3439 | 2010-03-10 |
| 1598943706 | Chickasaw Nation Division of Health | Clinic/Center | 1921 Stonecipher Blvd, Ada, OK 74820-3439 | 2008-02-11 |
| 1669597027 | Chickasaw Nation Division of Health | Pharmacy | 2510 Chickasaw Blvd, Ardmore, OK 73401-1341 | 2007-03-21 |
| 1215052675 | Chickasaw Nation Division of Health | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 1007 N Country Club Rd, Ada, OK 74820-2847 | 2007-03-21 |
| 1750406757 | Chickasaw Nation Division of Health | Pharmacy | 817 E 6th St, Tishomingo, OK 73460-1800 | 2007-03-20 |
| 1396860003 | Chickasaw Nation Division of Health | Pharmacy | 1438 Hardcastle Blvd, Purcell, OK 73080-8233 | 2007-03-20 |
| Street Address |
1904 CARL ALBERT BLVD STE B |
| City | ADA |
| State | OK |
| Zip Code | 74820-3493 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578103727 | Curry Orthopedics and Sports Medicine Pllc | Orthopaedic Surgery | 919 Colony Drive, Ada, OK 74820 | 2020-01-15 |
| 1215574603 | Miranda Denise Bowman | Counselor | 1300 Hoppe Blvd., Suite 5, Ada, OK 74820 | 2019-12-04 |
| 1326509654 | Patricia June Harjo | Case Manager/Care Coordinator | Nittak Himitta' Women's and Children's Recovery Center, 2024 Te Ata Drive, Ada, OK 74820 | 2019-03-28 |
| 1649737172 | Rylee Nikole Leblanc | Case Manager/Care Coordinator | 1119 S High School St, Ada, OK 74820 | 2019-02-20 |
| 1891251328 | David Kinback | Rehabilitation Counselor | 1400 Hoppe Blvd., Suite 3, Cn Recovery Resource Services, Ada, OK 74820 | 2019-02-20 |
| 1922571009 | Central Oklahoma Family Medical Center, Inc. | Pharmacy | 905 Colony Dr, Ada, OK 74820 | 2019-01-10 |
| 1063988673 | Central Oklahoma Family Medical Center, Inc | Clinic/Center | 905 Colony Drive Bldg, Ada, OK 74820 | 2018-10-22 |
| 1265907885 | Apex Surgery Center, LLC | Surgery | 2001 Cradduck Road, Ada, OK 74820 | 2018-10-10 |
| 1689150898 | Sabrina Simmons | Social Worker | 2516 Oakhurst Dr Apt E, Ada, OK 74820 | 2018-07-11 |
| 1700370467 | Brianna Leigh Youngwolfe | Nurse Practitioner | 2020 Arlington St Ste 6, Ada, OK 74820 | 2018-06-17 |
| Find all providers in zip 74820 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831575752 | Ada Apothecary Pllc | Durable Medical Equipment & Medical Supplies | 1201b Arlington St, Ada, OK 74820-4072 | 2015-08-03 |
| 1396932265 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1005 Arlington St, Ada, OK 74820-4036 | 2007-09-25 |
| 1689704702 | Dr Charles W Gurley Od PC | Durable Medical Equipment & Medical Supplies | 216 W 12th St, Ada, OK 74820-6404 | 2007-03-07 |
| 1205993235 | Social Services Foundation of Southern Oklahoma, Inc. | Durable Medical Equipment & Medical Supplies | 1710 N Broadway Ave, Suite 2, Ada, OK 74820-1406 | 2007-01-02 |
| 1376620419 | Hudson's Medicine Chest | Durable Medical Equipment & Medical Supplies | 500 N Monte Vista St, Ada, OK 74820-4670 | 2006-11-01 |
| 1760574453 | Social Services Foundation of Southern Oklahoma, Inc. | Durable Medical Equipment & Medical Supplies | 1710 N Broadway Ave Ste 2, Ada, OK 74820-1406 | 2006-09-29 |
| 1679590772 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1419 N Country Club Rd, Ada, OK 74820-1836 | 2006-07-16 |
| 1831134733 | Rite Aid of Ohio Inc | Durable Medical Equipment & Medical Supplies | 610 South Main Street, Ada, OH 45810-1503 | 2006-06-17 |
| 1851333561 | Dennis Ventures Inc | Durable Medical Equipment & Medical Supplies | 439 N Monte Vista St, Ada, OK 74820-4609 | 2006-06-10 |
| 1962483636 | Pruitt Co. of Ada, Inc | Durable Medical Equipment & Medical Supplies | 402 E 12th St, Ada, OK 74820-6602 | 2005-11-09 |
| Find all providers in ADA | ||||
Please comment or provide details below to improve the information on CHICKASAW NATION DIVISION OF HEALTH.
| 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.