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NPI Code Detail

MEDICARE: CREEK NATION HOSPITAL & CLINICS

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
1332800000XIndian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy51-4259OK

General Provider Information

NPI Number : 1831206291
Entity Type Code : Organization
Provider Name (Legal Business Name) : CREEK NATION HOSPITAL & CLINICS
Provider Business Mailing Address
First Line : 309 N 14TH ST
Second Line :
City : OKEMAH
State : OK
Zip : 74859-2028
Country : US
Telephone Number : 918-623-1424
Fax Number : 918-623-2809
Provider Business Practice Location Address
First Line : 309 N 14TH ST
Second Line :
City : OKEMAH
State : OK
Zip : 74859-2028
Country : US
Telephone Number : 918-623-1424
Fax Number : 918-623-2809
Authorized Official
Title or Position : CHIEF FINANCIAL OFFICER
Name : MR. MARION DEARMON
Credential :
Telephone Number : 918-756-3334
Provider Enumeration Date : 08/23/2006
Last Update Date : 08/22/2020

Similar Medicare Providers

1639192321 — MICHAEL EARLS D.O.
Practice Location Address:
309 N 14TH ST
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1912917675 — THOMAS F ALGEO M.D.
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1063528594 — JASON C. BEAN DPH
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1649462052 — MS. SHARON A. IVERSON RD
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1821276445 — CREEK NATION HOSPITAL & CLINICS
Practice Location Address:
309 N 14TH ST
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74859-2028
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Practice Fax:

Directions to “CREEK NATION HOSPITAL & CLINICS ” Practice Location

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