CHICKASAW NATION DIVISION OF HEALTH (NPI# 1598943706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598943706 |
Entity Type | Organization |
Organization Name | CHICKASAW NATION DIVISION OF HEALTH |
Practice Address |
1921 Stonecipher Blvd Ada OK 74820-3439 |
Practice Telephone | 5804214570 |
Practice Fax Number | 5804216283 |
Mailing Telephone | 5804214570 |
Mailing Fax Number | 5804216283 |
Enumeration Date | 2008-02-11 |
Last Update Date | 2012-03-27 |
Authorized Official Name | BRENDA TEEL (BUSINESS OFFICE MANAGER) |
Authorized Official Telephone | 5804214570 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OK | 100747670A | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295399095 | Chickasaw Nation Division of Health | Durable Medical Equipment & Medical Supplies | 1904 Carl Albert Blvd Ste B, Ada, OK 74820-3493 | 2019-04-26 |
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 |
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 |
1921 STONECIPHER BLVD |
City | ADA |
State | OK |
Zip Code | 74820-3439 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316945363 | Jerry S Morgan | Internal Medicine | 1921 Stonecipher Blvd, Ada, OK 74820-3439 | 2005-07-13 |
1568967602 | Pamela Kelli Grafton | Student in an Organized Health Care Education/Training Program | 1921 Stonecipher Blvd, Ada, OK 74820 | 2018-03-29 |
1396273314 | Mohammed R. Kayyali | Dentist | 1921 Stonecipher Blvd, Ada, OK 74820 | 2017-06-03 |
1174063903 | Chickasaw Nation Division of Health | Medicare Defined Swing Bed Unit | 1921 Stonecipher Blvd, Ada, OK 74820-3439 | 2017-02-27 |
1891247466 | Nissa Harrington | Dietitian, Registered | 1921 Stonecipher Blvd, Ada, OK 74820 | 2016-10-31 |
1437605078 | Mara Michael | Physical Therapist | 1921 Stonecipher Blvd, Ada, OK 74820 | 2016-09-01 |
1427505072 | Tammy Gearhart | Registered Nurse | 1921 Stonecipher Blvd, Ada, OK 74820 | 2016-09-01 |
1588017131 | Jeffrey Wells | Physical Therapist | 1921 Stonecipher Blvd, Ada, OK 74820 | 2016-07-19 |
1801254792 | Ashley Curtis | Nurse Practitioner | 1921 Stonecipher Blvd, Ada, OK 74820 | 2016-02-05 |
1053778514 | Darlene Seck | Dietitian, Registered | 1921 Stonecipher Blvd, Ada, OK 74820 | 2016-01-28 |
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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 |
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Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861909111 | Onecore Orthopedics, L L C | Clinic/Center | 1414 Arlington St Ste 2000, Ada, OK 74820-2613 | 2018-01-09 |
1114126711 | Jason H Hale Chiropractic P C | Clinic/Center | 428 E 10th St, 429 E. 10th St, Ada, OK 74820-5221 | 2007-07-13 |
1922152545 | Steven L Fillmore, Md | Clinic/Center | 1150 N Hills Shopping Ctr, Ada, OK 74820-1864 | 2007-01-22 |
1821043647 | Total Healthcare Plus Inc. | Clinic/Center | 1201 Arlington St, Suite B, Ada, OK 74820-4072 | 2006-05-23 |
1427699842 | Kindful Care LLC | Clinic/Center | 117 S Broadway Ave, Ada, OK 74820-5801 | 2019-10-07 |
1538450689 | Sovereign Family Clinic, LLC | Clinic/Center | 1007 N Country Club Rd, Ada, OK 74820-2847 | 2011-04-25 |
1821223884 | Occupational Therapy Solutions | Clinic/Center | 119 N Broadway Ave, Ada, OK 74820-5049 | 2009-05-20 |
1770609042 | R & L Ortega Pllc | Clinic/Center | 520 N Monte Vista St, Suite A, Ada, OK 74820-4674 | 2007-03-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689275471 | Osu Center for Health Sciences | Clinic/Center | 1 E Clark Bass Blvd Ste 201, Mcalester, OK 74501-4209 | 2020-11-06 |
1427662170 | Osu Center for Health Sciences | Clinic/Center | 802 S Jackson Ave Ste 410, Tulsa, OK 74127-9059 | 2020-09-01 |
1154949642 | Osu Center for Health Sciences | Clinic/Center | 140 W 151st St S, Glenpool, OK 74033-4523 | 2020-07-10 |
1235757071 | Equality Health Group LLC | Clinic/Center | 4301 Nw 63rd St Ste 109, Oklahoma City, OK 73116-1548 | 2020-07-08 |
1538785985 | Stars and Stripes Therapy Inc. | Clinic/Center | 713 Sw C Ave Ste A, Lawton, OK 73501-4311 | 2020-06-22 |
1265058101 | Taylor Medical Group, LLP | Clinic/Center | 735 W Locust St, Stilwell, OK 74960-3403 | 2020-06-16 |
1891317731 | Sparks Medical Consulting LLC | Clinic/Center | 1604 Sw 38th St, Moore, OK 73160-2953 | 2020-05-14 |
1093341844 | Osu Center for Health Sciences | Clinic/Center | 3201 W Gore Blvd Ste G2, Lawton, OK 73505-6323 | 2020-03-12 |
1255964128 | Osu Center for Health Sciences | Clinic/Center | 110 Nw 31st St Fl 3, Lawton, OK 73505-6100 | 2020-02-19 |
1104458231 | Osu Center for Health Sciences | Clinic/Center | 6501 S Western Ave Ste 101, Oklahoma City, OK 73139-1709 | 2020-02-06 |
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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.