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NPI Code Detail

MEDICARE: CENTRAL OKLAHOMA AMERICAN INDIAN HEALTH COUNCIL, INC.

MEDICARE: CENTRAL OKLAHOMA AMERICAN INDIAN HEALTH COUNCIL, INC.
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
1332800000XIndian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
2333600000XPharmacy14183OK

Other Identifiers

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

General Provider Information

NPI Number : 1811980154
Entity Type Code : Organization
Provider Name (Legal Business Name) : CENTRAL OKLAHOMA AMERICAN INDIAN HEALTH COUNCIL, INC.
Provider Business Mailing Address
First Line : 4913 W RENO AVE
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73127-6339
Country : US
Telephone Number : 405-948-4900
Fax Number : 405-948-4929
Provider Business Practice Location Address
First Line : 4913 W RENO AVE
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73127-6339
Country : US
Telephone Number : 405-948-4900
Fax Number : 405-948-4929
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : MS. ROBYN R SUNDAY-ALLEN
Credential : RN, MPH
Telephone Number : 405-948-4900
Provider Enumeration Date : 08/23/2005
Last Update Date : 08/12/2020

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