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General NPI Number Information
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NPI Number | 1225295272
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Entity Type | Organization
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Legal Business Name | CENTRAL OKLAHOMA AMERICAN INDIAN HEALTH COUNCIL, INC.
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Dates
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Enumeration Date | 05/19/2008
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Last Update Date | 08/12/2020
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Provider Practice Location Address
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Address Line | 4913 W RENO AVE
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City | OKLAHOMA CITY
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State | OK
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Zip | 73127-6339
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Country | US
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Telephone | 405-948-4900
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Fax | 405-948-4919
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Provider Business Mailing Address
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Address Line | 4913 W RENO AVE
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City | OKLAHOMA CITY
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State | OK
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Zip | 73127-6339
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Country | US
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Telephone | 405-948-4900
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Fax | 405-948-4919
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Authorized Official
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Title or Position | CEO
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Name | MS. ROBYN R SUNDAY-ALLEN
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Credential | MPH, RN
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Telephone | 405-948-4900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0206X
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Taxonomy Name | Mammography Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number |
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License Number State |
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