Citizen Potawatomi Nation

NPI #1194752949 in Shawnee, Oklahoma

Provider Information

NPI Number: 1194752949
Entity Type: Organization
Organization Name: Citizen Potawatomi Nation
Primary Specialty: Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date: Jun 27, 2006
Last Updated: Feb 28, 2025

Practice Location

Address: 2307 S GORDON COOPER DR
City: Shawnee
State: Oklahoma
ZIP Code: 74801-9007
Phone: (405) 273-5236

Authorized Official

Name: MR. CHRIS SKILLINGS
Title: DIRECTOR OF HEALTH SERVICES
Phone: (405) 273-5236

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC)	261QF0400X	Primary

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