| NPI | 1487076519 |
|---|---|
| Doing Business As | MUSCOGEE (CREEK) NATION DIALYSIS - KOWETA |
| Entity Type | Organization |
| Authorized Contact | SENECA M SMITH Secretary Of Health 918-756-4333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2014-01-08 |
| Last Update Date | 2014-08-15 |