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Organization
CHICKASAW NATION DIVISION OF HEALTH
Active
Organization
CHICKASAW NATION DIVISION OF HEALTH
Active
Other names
Chickasaw Nation Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE CARPENTER (CONTRACT MANAGEMENT COORDINATOR)
(580) 421-4570
Entity
Organization
Contact information
Practice address
1921 STONECIPHER BLVD, ADA, OK 74820
(580) 436-3980
(580) 421-6283
Mailing address
1921 STONECIPHER BLVD, ADA, OK 74820-3439
(580) 421-4570
(580) 421-6283
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
EMS300
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100747670E
—
OK
01
—
EMS300
STATE LICENSE
OK
Enumeration date
02/04/2008
Last updated
07/10/2025
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