CREEK NATION HOSPITAL AND CLINCS BOARD (NPI# 1518059674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518059674 |
| Entity Type | Organization |
| Organization Name | CREEK NATION HOSPITAL AND CLINCS BOARD |
| Other Organization Name | KOWETA INDIAN HEALTH FACILITY |
| Practice Address |
31870 East Hwy 51 Coweta OK 74429 |
| Mailing Address |
Mcn Pharmacy Dept # 1249 Tulsa OK 74182-0001 |
| Practice Telephone | 9182793200 |
| Practice Fax Number | 9187562464 |
| Mailing Telephone | 9187569909 |
| Mailing Fax Number | 9187562464 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2020-05-08 |
| Authorized Official Name | SHAWN TERRY (SECRETARY OF HEALTH) |
| Authorized Official Telephone | 9187569909 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | Y |
| Parent Organization Name | MUSCOGEE (CREEK) NATION DEPARTMENT OF HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers | ||
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
| Y | 332800000X | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 385091 | OK | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2077066 | 01 | |
| OK | 100809770N | 05 |
| Other Name | Type Code |
|---|---|
| KOWETA INDIAN HEALTH FACILITY | Doing Business As Name - Organization |
| Street Address |
31870 EAST HWY 51 |
| City | COWETA |
| State | OK |
| Zip Code | 74429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508158312 | Terence J Vincent | Podiatrist | 31870 East Hwy 51, Coweta, OK 74429 | 2011-05-11 |
| 1154515690 | Melinda Lea Ahrend | Dentist | 31870 East Hwy 51, Coweta, OK 74429 | 2007-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750990867 | Leslie Ann Kolmer | Nurse Practitioner | 31870 Ok-51, Coweta, OK 74429 | 2020-07-24 |
| 1033737606 | Redbud Physical Therapy LLC | Durable Medical Equipment & Medical Supplies | 12641 S Highway 51, Coweta, OK 74429 | 2020-07-10 |
| 1629604434 | Medwise LLC | Clinic/Center | 11495 S. State Highway 51, Coweta, OK 74429 | 2020-03-13 |
| 1275184657 | Deborah Smith | Technician | 15124 South 241st East Avenue, Coweta, OK 74429 | 2019-09-26 |
| 1457820813 | Jennifer Jean Biffle | Speech-Language Pathologist | 14504 S 302nd E Ave, Coweta, OK 74429 | 2018-11-15 |
| 1942718499 | Bristow Endeavor Healthcare, LLC | Internal Medicine | 607 S. Broadway Street, Coweta, OK 74429 | 2018-01-18 |
| 1437519428 | Advanced Chiropractic & Health | Chiropractor | 30091 E State Hwy 51, Coweta, OK 74429 | 2016-03-03 |
| 1558732867 | Alyssa Barron | Pharmacist | 11207 S. Highway 51, Coweta, OK 74429 | 2015-10-13 |
| 1184005415 | Abigail Carnes | Physical Therapist | 12641 S Hwy 51, Coweta, OK 74429 | 2015-06-11 |
| 1407235039 | Rebecca Vieth | Speech-Language Pathologist | 26954 E 131st St S, Coweta, OK 74429 | 2015-05-28 |
| Find all providers in zip 74429 | ||||
| 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.