# GREAT SALT PLAINS HEALTH CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** GREAT SALT PLAINS HEALTH CENTER
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1891245544
- **Legal business name:** GREAT SALT PLAINS HEALTH CENTER
- **Authorized official:** TIM STARKEY (CEO)
- **Authorized official phone:** (580) 596-2800

## Contact information

- **Practice address:** 405 S OKLAHOMA AVE, CHEROKEE, OK 73728-2545
- **Practice address phone:** (580) 596-2800
- **Practice address fax:** (580) 596-2805
- **Mailing address:** 405 S OKLAHOMA AVE, CHEROKEE, OK 73728-2545

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/06/2016
- **Last updated:** 07/03/2023