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	License Number	License Number State
1	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1689073413
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CREEK NATION HOSPITAL & CLINICS

Provider Business Mailing Address
First Line	:	DEPT 1467
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74182-0001
Country	:	US
Telephone Number	:	918-756-9266
Fax Number	:	918-752-0976

Provider Business Practice Location Address
First Line	:	1201 S BELMONT AVE
Second Line	:	STE 205
City	:	OKMULGEE
State	:	OK
Zip	:	74447-6351
Country	:	US
Telephone Number	:	918-756-9266
Fax Number	:	918-752-0976

Authorized Official
Title or Position	:	SECRETARY OF HEALTH
Name	:	SHAWN TERRY
Credential	:
Telephone Number	:	918-756-4333

Provider Enumeration Date	:	08/18/2014
Last Update Date	:	10/27/2021

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1740689488 — CREEK NATION HOSPITAL & CLINICS
Practice Location Address:

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Directions to “CREEK NATION HOSPITAL & CLINICS ” Practice Location

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