institution
Citizen Potawatomi Nation
Federally Qualified Health Center (FQHC) in Shawnee, Oklahoma
NPI 1194752949

Citizen Potawatomi Nation is a Federally Qualified Health Center (FQHC) based in Shawnee, OK and is specialized in Federally Qualified Health Center (FQHC). Citizen Potawatomi Nation practices in Shawnee, OK. The NPI Number for Citizen Potawatomi Nation is 1194752949 and holds a License No. (Oklahoma).

The current practice location address for Citizen Potawatomi Nation is 2307 S Gordon Cooper Dr, Shawnee, OK and can be reached out via phone at 405-273-5236 and via fax at 405-878-4835.

Location: 2307 S Gordon Cooper Dr, Shawnee, OK, 74801-9007
institution
Provider Profile Details
NPI Number
1194752949
Provider Name
Citizen Potawatomi Nation
Credential
Provider Entity Type
Organization
Address
2307 S Gordon Cooper Dr, Shawnee, OK, 74801-9007
Phone Number
405-273-5236
Fax Number
405-878-4835
Provider Enumeration Date
06/27/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
100244300C 05 OK
institution
Provider Business Practice Location Address Details
Address
2307 S Gordon Cooper Dr
City
State
Zip
74801-9007
Phone Number
405-273-5236
Fax Number
405-878-4835
person
Provider Business Mailing Address Details
Address
2307 S Gordon Cooper Dr
City
State
Zip
74801-9007
Phone Number
405-273-5236
Fax Number
405-878-4835
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
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Definition
Definition to come...
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