# PEORIA TRIBE OF INDIANS OF OKLAHOMA

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

## Provider details

- **NPI number:** 1811540362
- **Authorized official:** JORDAN BARLOW (PROGRAM DEVELOPMENT SPECIALIST)
- **Authorized official phone:** (918) 540-2535

## Contact information

- **Practice address:** 118 S EIGHT TRIBES TRL, MIAMI, OK 74354-1002
- **Practice address phone:** (918) 540-2535
- **Mailing address:** 118 S EIGHT TRIBES TRL, MIAMI, OK 74354-1002
- **Mailing address phone:** (918) 540-2535

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 251K00000X | Public Health or Welfare Agency | — | NULL | Yes |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |

## Other

- **Enumeration date:** 07/23/2019
- **Last updated:** 07/23/2019