Chickasaw Nation

NPI #1922397140 in Purcell, Oklahoma

Provider Information

NPI Number: 1922397140
Entity Type: Organization
Organization Name: Chickasaw Nation
Primary Specialty: Clinic/Center
Enumeration Date: Mar 29, 2011
Last Updated: Mar 29, 2011

Practice Location

Address: 1603 S GREEN AVE
Address 2: BOX 1620
City: Purcell
State: Oklahoma
ZIP Code: 73080-6210
Phone: (405) 527-4973

Authorized Official

Name: MR. TERRY L. SMITH
Title: DIRECTOR
Phone: (405) 767-8942

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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