Chickasaw Nation Division of Health Chickasaw Nation Medical Center

NPI #1295399095 in Ada, Oklahoma

Provider Information

NPI Number: 1295399095
Entity Type: Organization
Organization Name: Chickasaw Nation Division of Health Chickasaw Nation Medical Center
Subpart: Yes (part of a larger organization)
Parent Organization: CHICKASAW NATION DIVISION OF HEALTH CHICKASAW NATION MEDICAL CENTER
Primary Specialty: Durable Medical Equipment & Medical Supplies
Enumeration Date: Apr 26, 2019
Last Updated: Sep 24, 2024

Practice Location

Address: 1904 CARL ALBERT BLVD STE B
City: Ada
State: Oklahoma
ZIP Code: 74820-3491
Phone: (580) 272-5413

Authorized Official

Name: ZACHARIAH F WILLIAMS, PHARM. D.
Title: BILLING AND CONTRACTING MANAGER
Phone: (580) 272-5710

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X	Primary

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