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Organization
CHOCTAW NATION HEALTH SERVICES
Active
Organization
CHOCTAW NATION HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA JACKSON (ADMINISTRATOR)
(918) 567-7054
Entity
Organization
Contact information
Practice address
902 E LINCOLN RD, IDABEL, OK 74745-7337
(580) 286-2600
(580) 286-1087
Mailing address
1 CHOCTAW WAY, TALIHINA, OK 74571-2022
(918) 567-7000
(918) 567-7066
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101Y00000X
—
OK
Enumeration date
09/21/2011
Last updated
01/24/2024
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