Chickasaw Nation Division of Health Chickasaw Nation Medical Center

NPI #1962563148 in Ada, Oklahoma

Provider Information

NPI Number: 1962563148
Entity Type: Organization
Organization Name: Chickasaw Nation Division of Health Chickasaw Nation Medical Center
Primary Specialty: Clinic/Center - Primary Care
Enumeration Date: Dec 12, 2006
Last Updated: Aug 17, 2018

Practice Location

Address: 1007 N COUNTRY CLUB RD
City: Ada
State: Oklahoma
ZIP Code: 74820-2847
Phone: (580) 436-4585

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Primary Care — Primary Care	261QP2300X	Primary

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