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United Keetoowah Band Community Health Initiative, Llc
Point of Service in Tahlequah, Oklahoma
NPI 1962752659

United Keetoowah Band Community Health Initiative, Llc is a Point of Service based in Tahlequah, OK. United Keetoowah Band Community Health Initiative, Llc practices in Tahlequah, OK. The NPI Number for United Keetoowah Band Community Health Initiative, Llc is 1962752659 and holds a License No. OK4140 (Oklahoma).

The current practice location address for United Keetoowah Band Community Health Initiative, Llc is 2450 S Muskogee Ave, Tahlequah, OK and can be reached out via phone at 918-431-1818 and via fax at 918-431-1873.

Location: 2450 S Muskogee Ave, Tahlequah, OK, 74464-5450
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1962752659
Provider Name
United Keetoowah Band Community Health Initiative, Llc
Credential
Provider Entity Type
Organization
Address
2450 S Muskogee Ave, Tahlequah, OK, 74464-5450
Phone Number
918-431-1818
Fax Number
918-431-1873
Provider Enumeration Date
09/11/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2450 S Muskogee Ave
City
Tahlequah
State
Oklahoma
Zip
74464-5450
Phone Number
918-431-1818
Fax Number
918-431-1873
person
Provider Business Mailing Address Details
Address
2450 S Muskogee Ave
City
Tahlequah
State
Oklahoma
Zip
74464-5450
Phone Number
918-431-1818
Fax Number
918-431-1873
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Point of Service
Speciality
-
Taxonomy
305S00000X
License No.
OK4140 (Oklahoma)
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
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