MEDICARE: CREEK NATION HOSPITAL & CLINICS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	332800000X	Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
2	3336S0011X	Specialty Pharmacy
3	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1093546574
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CREEK NATION HOSPITAL & CLINICS

Provider Business Mailing Address
First Line	:	PO BOX 400
Second Line	:
City	:	OKMULGEE
State	:	OK
Zip	:	74447-0400
Country	:	US
Telephone Number	:	918-756-9909
Fax Number	:	918-756-2464

Provider Business Practice Location Address
First Line	:	10153 E 79TH ST STE 102
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74133-4637
Country	:	US
Telephone Number	:	855-771-4321
Fax Number	:	918-756-2464

Authorized Official
Title or Position	:	DIRECTOR OF PHARMACY
Name	:	DUSTY JAMES ALLEN
Credential	:	PHARMD
Telephone Number	:	918-756-9909

Provider Enumeration Date	:	08/08/2024
Last Update Date	:	08/08/2024

Similar Medicare Providers

1952563025 — DR. SHANNON GREGORY COX M.D.
Practice Location Address:

1826 E 15TH ST STE B
TULSA, OK
74104-4637

Practice Phone: 918-747-3937
Practice Fax: 918-748-8707

1801103940 — MRS. KAREN BROOKE RATH M.S., CCC-SLP
Practice Location Address:

4637 E 59TH ST
TULSA, OK
74135-4321

Practice Phone: 918-557-8784
Practice Fax:

1821357690 — DR. AARON QUINN WILL D.C.
Practice Location Address:

1826 E 15TH ST STE D
TULSA, OK
74104-4637

Practice Phone: 918-340-5923
Practice Fax: 918-787-2846

1881054336 — WILL FAMILY CHIROPRACTIC, PLLC
Practice Location Address:

1826 E 15TH ST STE D
TULSA, OK
74104-4637

Practice Phone: 918-340-5923
Practice Fax: 918-340-5949

1538824123 — ASHLEY DOUGHERTY LM, CPM
Practice Location Address:

2328 S 102ND EAST AVE
TULSA, OK
74129-4637

Practice Phone: 918-855-3556
Practice Fax:

1245843796 — CREEK NATION HOSPITAL & CLINICS
Practice Location Address:

10109 E 79TH ST STE B120
TULSA, OK
74133-4564

Practice Phone: 918-300-1061
Practice Fax: 918-756-2464

Directions to “CREEK NATION HOSPITAL & CLINICS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.