Chickasaw Nation Division of Health Chickasaw Nation Medical Center

NPI #1790006112 in Ada, Oklahoma

Provider Information

NPI Number: 1790006112
Entity Type: Organization
Organization Name: Chickasaw Nation Division of Health Chickasaw Nation Medical Center
Primary Specialty: Clinic/Center - Ambulatory Surgical
Enumeration Date: Jun 21, 2010
Last Updated: Aug 20, 2018

Practice Location

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

Authorized Official

Name: KIRBI MEEKS
Title: CONTRACT MANAGEMENT COORDINATOR
Phone: (580) 421-4570

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Ambulatory Surgical — Ambulatory Surgical	261QA1903X	Primary

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