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White Eagle Health Center
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Ponca City, Oklahoma
NPI 1891999157

White Eagle Health Center is a Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy based in Ponca City, OK. White Eagle Health Center practices in Ponca City, OK. The NPI Number for White Eagle Health Center is 1891999157 and holds a License No. (Oklahoma).

The current practice location address for White Eagle Health Center is 200 White Eagle Drive, Ponca City, OK and can be reached out via phone at 580-765-2501 and via fax at 580-765-0984.

Location: 200 White Eagle Drive, Ponca City, OK, 74601
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1891999157
Provider Name
White Eagle Health Center
Credential
Provider Entity Type
Organization
Address
200 White Eagle Drive, Ponca City, OK, 74601
Phone Number
580-765-2501
Fax Number
580-765-0984
Provider Enumeration Date
06/12/2007
Last Update Date
07/20/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100700590B 05 OK
3722938 01 NCPDP NUMBER
institution
Provider Business Practice Location Address Details
Address
200 White Eagle Drive
City
Ponca City
State
Oklahoma
Zip
74601
Phone Number
580-765-2501
Fax Number
580-765-0984
person
Provider Business Mailing Address Details
Address
200 White Eagle Drive
City
Ponca City
State
Oklahoma
Zip
74601
Phone Number
580-765-2501
Fax Number
580-765-0984
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
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.
()
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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