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General NPI Number Information
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NPI Number | 1194878835
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Entity Type | Organization
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Legal Business Name | CREEK NATION HOSPITAL AND CLINICS
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Dates
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Enumeration Date | 01/18/2007
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Last Update Date | 10/27/2021
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Provider Practice Location Address
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Address Line | 1800 E COPLIN ST
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City | OKEMAH
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State | OK
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Zip | 74859-4642
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Country | US
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Telephone | 918-623-1424
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Fax | 918-623-3015
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Provider Business Mailing Address
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Address Line | DEPT 1038
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City | TULSA
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State | OK
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Zip | 74182-0001
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Country | US
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Telephone | 918-756-4333
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Fax |
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Authorized Official
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Title or Position | SECRETARY OF HEALTH
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Name | SHAWN TERRY
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Credential |
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Telephone | 918-756-3334
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | EMS219
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License Number State | OK
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