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Choctaw Nation Of Oklahoma
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Idabel, Oklahoma
NPI 1790833564

Choctaw Nation Of Oklahoma is a Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy based in Idabel, OK. Choctaw Nation Of Oklahoma practices in Idabel, OK. The NPI Number for Choctaw Nation Of Oklahoma is 1790833564 and holds a License No. 255013 (Oklahoma).

The current practice location address for Choctaw Nation Of Oklahoma is 902 E Lincoln Rd, Idabel, OK and can be reached out via phone at 918-567-7096 and via fax at 918-567-7041.

Location: 902 E Lincoln Rd, Idabel, OK, 74745-7337
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1790833564
Provider Name
Choctaw Nation Of Oklahoma
Credential
Provider Entity Type
Organization
Address
902 E Lincoln Rd, Idabel, OK, 74745-7337
Phone Number
918-567-7096
Fax Number
918-567-7041
Provider Enumeration Date
01/08/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3724285 01 NCPDP PROVIDER IDENTIFICATION NUMBER
100244980F 05 OK
institution
Provider Business Practice Location Address Details
Address
902 E Lincoln Rd
City
Idabel
State
Oklahoma
Zip
74745-7337
Phone Number
918-567-7096
Fax Number
918-567-7041
person
Provider Business Mailing Address Details
Address
902 E Lincoln Rd
City
Idabel
State
Oklahoma
Zip
74745-7337
Phone Number
918-567-7096
Fax Number
918-567-7041
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
255013 (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).
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Speciality
-
Taxonomy
332800000X
License No.
255013 (Oklahoma)
Definition
An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603.
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