# CHOCTAW NATION OF OKLAHOMA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104344027
- **Authorized official:** MS. TERESA KAY JACKSON (CEO)
- **Authorized official phone:** (918) 567-7000

## Contact information

- **Practice address:** 1 CHOCTAW WAY, TALIHINA, OK 74571-2022
- **Practice address phone:** (918) 567-7000
- **Mailing address:** PO BOX 1577, DURANT, OK 74702-1577
- **Mailing address phone:** (580) 916-9140
- **Mailing address fax:** (580) 916-9142

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | OK | Yes |
| 261QP0904X | Federal Public Health Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 08/30/2017
- **Last updated:** 08/21/2025
