# MUSCOGEE CREEK NATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Creek Nation Health System
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013922624
- **Authorized official:** JUDY AARON (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (918) 756-3334

## Contact information

- **Practice address:** 1801 E 4TH ST, LACKEY HALL SOUTH, OKMULGEE, OK 74447-3942
- **Practice address phone:** (918) 756-3334
- **Practice address fax:** (918) 756-3993
- **Mailing address:** PO BOX 1312, OKMULGEE, OK 74447-1312
- **Mailing address phone:** (918) 756-3334
- **Mailing address fax:** (918) 759-2081

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | — |
| 122300000X | Dentist | — | — | — |
| 133V00000X | Registered Dietitian | — | NULL | — |
| 133V00000X | Registered Dietitian | — | — | — |
| 152W00000X | Optometrist | — | NULL | — |
| 152W00000X | Optometrist | — | — | — |
| 183500000X | Pharmacist | — | NULL | — |
| 183500000X | Pharmacist | — | — | — |
| 183700000X | Pharmacy Technician | — | NULL | — |
| 183700000X | Pharmacy Technician | — | — | — |
| 207P00000X | Emergency Medicine Physician | — | NULL | — |
| 207P00000X | Emergency Medicine Physician | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 246Y00000X | Health Information Specialist/Technologist | — | NULL | — |
| 246Y00000X | Health Information Specialist/Technologist | — | — | — |
| 247100000X | Radiologic Technologist | — | NULL | — |
| 247100000X | Radiologic Technologist | — | — | — |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |
| 363LW0102X | Women's Health Nurse Practitioner | — | NULL | — |
| 363LW0102X | Women's Health Nurse Practitioner | — | — | — |
| 364S00000X | Clinical Nurse Specialist | — | NULL | — |
| 364S00000X | Clinical Nurse Specialist | — | — | — |

## Other

- **Enumeration date:** 07/30/2006
- **Last updated:** 06/20/2008