Choctaw Nation of Oklahoma

NPI #1770559619 in Broken Bow, Oklahoma

Provider Information

NPI Number
1770559619
Entity Type
Organization
Organization Name
Choctaw Nation of Oklahoma
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Feb 28, 2006
Last Updated
Jan 17, 2024

Practice Location

Address
205 E 3RD ST
ZIP Code
74728-4119
Phone
(918) 567-7000

Authorized Official

Name
MRS. TERESA KAY JACKSON
Title
ADMINISTRATOR
Phone
(918) 567-7000

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Public Health, FederalPublic Health, Federal
Clinic/Center - Primary CarePrimary Care

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