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General NPI Number Information
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NPI Number | 1265311229
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Entity Type | Organization
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Legal Business Name | CREEK NATION HOSPITAL & CLINICS
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Dates
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Enumeration Date | 09/02/2025
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 10109 E 79TH ST
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City | TULSA
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State | OK
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Zip | 74133-4682
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Country | US
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Telephone | 918-233-9550
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Fax | 918-759-2081
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Provider Business Mailing Address
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Address Line | 1101 S BELMONT AVE STE 204
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City | OKMULGEE
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State | OK
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Zip | 74447-6315
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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 | 918-233-9550
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 315D00000X
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Taxonomy Name | Inpatient Hospice
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License Number |
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License Number State |
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