CHEROKEE NATION


Address: 859 E. Melton Drive, Jay, OK 74346-4205
Phone: 9182534271

CHEROKEE NATION (NPI# 1659388965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659388965
Entity Type Organization
Organization Name CHEROKEE NATION
Other Organization Name SAM HIDER HEALTH CENTER
Practice Address 859 E. Melton Drive
Jay
OK 74346-4205
Mailing Address Po Box 1069
Tahlequah
OK 74465-1069
Practice Telephone 9182534271
Practice Fax Number 9182534938
Mailing Telephone 9184535765
Mailing Fax Number 9184584495
Enumeration Date 2006-08-01
Last Update Date 2018-04-19
Authorized Official Name DR. CHARLES GRIM (EXECUTIVE DIRECTOR, HEALTH SERVICES)
Authorized Official Telephone 9184583100
Authorized Official Credential DDS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QM1300X Clinic/Center
Specialization: Multi-Specialty
Ambulatory Health Care Facilities
Y 261QM1300X Clinic/Center
Specialization: Multi-Specialty
OK Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
OK 100700620A 05
OK 100700620 A 05
OK MEDICARE PART A 370171 01

Other Provider/Organization Names

Other Name Type Code
Sam Hider Health Center Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1356787444 Cherokee Nation Clinic/Center 1277 Skill Center Cir, Tahlequah, OK 74464-6495 2013-05-15
1326294968 Cherokee Nation Pharmacy 19600 North Ross Street, Tahlequah, OK 74464 2008-08-14
1801803846 Cherokee Nation Durable Medical Equipment & Medical Supplies 301 S J T Stites St, Sallisaw, OK 74955-9302 2006-08-02
1093722324 Cherokee Nation Clinic/Center 16944 W Cherokee, Tahlequah, OK 74464-5539 2006-08-01
1649216441 Cherokee Nation Durable Medical Equipment & Medical Supplies 1020 Lenape Dr, Nowata, OK 74048-4403 2006-06-21
1588667760 Cherokee Nation Ambulance 22114 S Bald Hill Rd, Tahlequah, OK 74464-1519 2005-05-23
1346623584 Cherokee Nation Pharmacy 100 S Bliss Ave, Tahlequah, OK 74464-2512 2015-07-07
1871972430 Cherokee Nation Clinic/Center 395200 W 2900 Rd, Ochelata, OK 74051-2463 2015-05-28
1629476221 Cherokee Nation Pharmacy 395200 W 2900 Rd, Ochelata, OK 74051-2463 2014-12-12
1790030369 Cherokee Nation Pharmacy 27371 S 4410 Rd, Vinita, OK 74301-7953 2012-07-19

Other Data Sources

Entity Type Entity Name Entity Address
Oklahoma Business Registrations CHEROKEE NATION 22ND CENTURY, L.L.C. 777 W Cherokee St Corp Bldg 2, Catoosa, OK 74015
Colorado Business Entities Cherokee Nation 3S, L.L.C. 777 W Cherokee St, Catoosa, OK 74015
Oklahoma Business Registrations CHEROKEE NATION 3S, L.L.C. 777 W Cherokee, Catoosa, OK 74015
System for Award Management (SAM) Entities CHEROKEE NATION AEROSPACE AND DEFENSE, L.L.C. 2777 Highway 69a, Pryor, OK 74361-4565
Colorado Business Entities Cherokee Nation Aerospace and Defense, L.L.C. 777 W. Cherokee Street, Catoosa, OK 74015
Oklahoma Business Registrations CHEROKEE NATION AEROSPACE AND DEFENSE, L.L.C. Rt. 3 Box 498, Stilwell, OK 74960
System for Award Management (SAM) Entities CHEROKEE NATION ASSURANCE, L.L.C. 777 W Cherokee St, Catoosa, OK 74015-3235
Oregon Corporations, Companies and Business Names CHEROKEE NATION ASSURANCE, L.L.C. 777 W Cherokee Street, Corp Bldg 2, Catoosa, OK 74015
Washington State Corporations CHEROKEE NATION ASSURANCE, L.L.C. 777 W Cherokee St, Corp. Bldg. 2, Catoosa, OK 74015
Colorado Business Entities Cherokee Nation Assurance, L.L.C. 777 W. Cherokee Street, Corp. Bldg. 2, Catoosa, OK 74015

Office Location

Street Address 859 E. MELTON DRIVE
City JAY
State OK
Zip Code 74346-4205

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417090820 Cherokee Nation Durable Medical Equipment & Medical Supplies 859 E. Melton Drive, Jay, OK 74346 2007-02-15

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1346859261 Kathy Jo Jones Clinic/Center 34404 S 625 Rd, Jay, OK 74346 2020-07-27
1174147847 Cory H Carroll Pharmacist 38776 St Hwy 127, Jay, OK 74346 2020-05-29
1629602362 Alexis Noelle Gibe Case Manager/Care Coordinator 1015 W Washbourne, Jay, OK 74346 2020-03-02
1659933430 Team Clinic Management Partners LLC Clinic/Center 333 E Dial St, Jay, OK 74346 2019-07-02
1083276869 Team Clinic Management Partners LLC Clinic/Center 386 E Monroe Ave, Jay, OK 74346 2019-07-02
1609347657 Aimee Rachelle Cherry Dental Hygienist Sam Hider Dental Clinic, 859 E Melton Dr., Jay, OK 74346 2018-12-16
1619476686 Curtis J Atterbury Physician Assistant 55731 W 345 Rd, Jay, OK 74346 2018-02-06
1972037950 Vivian Martin Physical Therapist 432 South 9th, Jay, OK 74346 2017-04-17
1407389653 Chelcci Stapleton Speech-Language Pathologist 432 S. 9th St, Jay, OK 74346 2017-04-05
1104361096 Cheryl Gonzalis Licensed Practical Nurse 859 E Melton Dr., Jay, OK 74346 2016-12-30
Find all providers in zip 74346

Taxonomy Information

Taxonomy Code 261QM1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Multi-Specialty

Taxonomy Definition

Definition to come...

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1588213441 Drayer Physical Therapy Oklahoma LLC Clinic/Center 11319 S State Highway 51 Ste 900, Coweta, OK 74429-7163 2019-09-04
1568021459 Healthworks Medical Group of Oklahoma P C Clinic/Center 915 E Owen K Garriott Rd Ste 202, Enid, OK 73701-6156 2019-06-13
1356803308 Saint Medical Group, LLC Clinic/Center 2315 Parkview Dr Ste 2a, El Reno, OK 73036-2149 2019-04-01
1992267959 Saint Medical Group, LLC Clinic/Center 2315 Parkview Dr Ste 2b, El Reno, OK 73036-2149 2019-04-01
1831698752 Healthworks Medical Group of Oklahoma P C Clinic/Center 109 Ne 40th St, Oklahoma City, OK 73105-2415 2018-02-06
1386185353 Neuropathy Treatment Clinic of Oklahoma LLC Clinic/Center 1810 E 15th St Ste D, Tulsa, OK 74104-4611 2017-03-10
1942757554 Seiling Municipal Hospital Authority Clinic/Center 809 Ne Hwy 60, Seiling, OK 73663 2016-09-01
1255784393 Kmz Medical Solutions, Pllc Clinic/Center 800 W. St., Ste 102-c, Edmond, OK 73013-7920 2016-07-13
1417303801 Paradigm Hormones Tulsa, Pllc Clinic/Center 6316 E 102nd St, Tulsa, OK 74137-7061 2016-05-04
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Competitor

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City JAY
Zip Code 74346

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Dataset Information

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.

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