NPI | 1972769701 |
---|---|
Doing Business As | CHOCTAW NATION HEALTH CLINIC ATOKA |
Entity Type | Organization |
Authorized Contact | TERESA K JACKSON Administrator 918-567-7000 |
Organization Subpart ? | No |
Primary Taxonomy | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy (Licence: OK 575309) |
Additional Taxonomies | 261Q00000X Clinic/Center (Licence: OK 57-5309) |
Enumeration Date | 2008-07-31 |
Last Update Date | 2013-05-07 |