# WEWOKA INDIAN HEALTH

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

## Provider details

- **NPI number:** 1689664195
- **Authorized official:** MR. FARREL SMITH (CEO)
- **Authorized official phone:** (405) 257-6282

## Contact information

- **Practice address:** 36640 HWY 270, WEWOKA, OK 74884
- **Practice address phone:** (405) 257-6282
- **Practice address fax:** (405) 257-2696
- **Mailing address:** PO BOX 1475, WEWOKA, OK 74884-1475
- **Mailing address phone:** (405) 257-7318
- **Mailing address fax:** (405) 257-2696

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | — | OK | Yes |

## Other

- **Enumeration date:** 10/26/2005
- **Last updated:** 02/23/2021