| NPI | 1649330242 |
|---|---|
| Doing Business As | CHICKASAW NATION TISHOMINGO CLINIC |
| Entity Type | Organization |
| Authorized Contact | DENISE CARPENTER Contract Management Coordinator 580-421-4570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QP0904X Clinic/Center, Public Health, Federal | |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2025-07-10 |