| NPI | 1881981744 |
|---|---|
| Doing Business As | CITIZEN POTAWATOMI NATION WEST CLINIC |
| Entity Type | Organization |
| Authorized Contact | TIM TALL CHIEF Director Of Health Services 405-964-5770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2014-10-01 |