| NPI | 1699875724 |
|---|---|
| Former Legal Business Name | PONCA TRIBAL HEALTH AUTHORITY |
| Entity Type | Organization |
| Authorized Contact | BENNETT ARKEKETA Tribal Administrator 580-765-2501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2016-05-18 |