institution
Citizen Potawatomi Nation
Federally Qualified Health Center (FQHC) in Shawnee, Oklahoma
NPI 1881981744

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 1881981744 and holds a License No. (Oklahoma).

The current practice location address for Citizen Potawatomi Nation is 781 Grand Casino Blvd, Shawnee, OK and can be reached out via phone at 405-964-5770 and via fax at 405-964-5785.

Location: 781 Grand Casino Blvd, Shawnee, OK, 74804-1005
institution
Provider Profile Details
NPI Number
1881981744
Provider Name
Citizen Potawatomi Nation
Credential
Provider Entity Type
Organization
Address
781 Grand Casino Blvd, Shawnee, OK, 74804-1005
Phone Number
405-964-5770
Fax Number
405-964-5785
Provider Enumeration Date
06/29/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100244300F 05 OK
100244300G 05 OK
100211300E 05 OK
institution
Provider Business Practice Location Address Details
Address
781 Grand Casino Blvd
City
State
Zip
74804-1005
Phone Number
405-964-5770
Fax Number
405-964-5785
person
Provider Business Mailing Address Details
Address
781 Grand Casino Blvd
City
State
Zip
74804-1005
Phone Number
405-964-5770
Fax Number
405-964-5785
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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