MEDICARE: CHEROKEE SERVICES

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332BN1400X	Nursing Facility Supplies (DME)	OK 9725	OK
2	332BP3500X	Parenteral & Enteral Nutrition Supplies (DME)	OK 9725	OK
3	332BX2000X	Oxygen Equipment & Supplies (DME)	OK 9725	OK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1871596569
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHEROKEE SERVICES

Provider Business Mailing Address
First Line	:	22122 E 63RD ST
Second Line	:
City	:	BROKEN ARROW
State	:	OK
Zip	:	74014-2007
Country	:	US
Telephone Number	:	918-808-5526
Fax Number	:	918-355-6158

Provider Business Practice Location Address
First Line	:	22122 E 63RD ST
Second Line	:
City	:	BROKEN ARROW
State	:	OK
Zip	:	74014-2007
Country	:	US
Telephone Number	:	918-808-5526
Fax Number	:	918-355-6158

Authorized Official
Title or Position	:	CEO
Name	:	DR. GARRETT REAN HUXALL
Credential	:	PHARMD, CGP,FASCP
Telephone Number	:	918-808-5526

Provider Enumeration Date	:	05/27/2005
Last Update Date	:	09/11/2025

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Directions to “CHEROKEE SERVICES ” Practice Location

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