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Citizen Potawatomi Nation
Clinic/Center in Shawnee, Oklahoma
NPI 1689680670

Citizen Potawatomi Nation is a Clinic/Center based in Shawnee, OK. Citizen Potawatomi Nation practices in Shawnee, OK. The NPI Number for Citizen Potawatomi Nation is 1689680670 and holds a License No. 10-4078 (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 405-273-2392.

Location: 2307 S Gordon Cooper Dr, Shawnee, OK, 74801-9007
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1689680670
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
405-273-2392
Provider Enumeration Date
07/31/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2307 S Gordon Cooper Dr
City
Shawnee
State
Oklahoma
Zip
74801-9007
Phone Number
405-273-5236
Fax Number
405-273-2392
person
Provider Business Mailing Address Details
Address
2307 S Gordon Cooper Dr
City
Shawnee
State
Oklahoma
Zip
74801-9007
Phone Number
405-273-5236
Fax Number
405-273-2392
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
10-4078 (Oklahoma)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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