# CHOCTAW NATION OF OKLAHOMA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Choctaw Nation
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306384821
- **Authorized official:** MRS. TERESA KAY JACKSON (CEO)
- **Authorized official phone:** (918) 567-7000

## Contact information

- **Practice address:** 1801 CHUKKA HINA, DURANT, OK 74701-3085
- **Practice address phone:** (580) 920-2100
- **Practice address fax:** (580) 924-7215
- **Mailing address:** PO BOX 1577, DURANT, OK 74702-1577
- **Mailing address phone:** (580) 920-2100
- **Mailing address fax:** (580) 924-7215

## Taxonomy

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

## Other

- **Enumeration date:** 02/03/2017
- **Last updated:** 01/16/2024