Chickasaw Nation Division of Health

NPI #1598943706 in Ada, Oklahoma

Provider Information

NPI Number: 1598943706
Entity Type: Organization
Organization Name: Chickasaw Nation Division of Health
Primary Specialty: Clinic/Center
Enumeration Date: Feb 11, 2008
Last Updated: Mar 27, 2012

Practice Location

Address: 1921 STONECIPHER BLVD
City: Ada
State: Oklahoma
ZIP Code: 74820-3439
Phone: (580) 421-4570

Authorized Official

Name: BRENDA TEEL
Title: BUSINESS OFFICE MANAGER
Phone: (580) 421-4570

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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