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Organization
OSAGE NATION SI-SI A-PE-TXA
Active
Organization
OSAGE NATION SI-SI A-PE-TXA
Active
Other names
Wah-Zha-Zhe Health Center, Wah-Zha-Zhi Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
HARRISON ROBY HUDGINS (BUSINESS OFFICE MANAGER)
(918) 287-9335
Entity
Organization
Contact information
Practice address
715 GRANDVIEW AVE, PAWHUSKA, OK 74056-3201
(918) 287-4491
(918) 287-5251
Mailing address
715 GRANDVIEW AVE, PAWHUSKA, OK 74056-3201
(918) 287-4491
(918) 287-5251
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
OK
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
OK
261QR0200X
Radiology Clinic/Center
Primary
—
OK
261QR0207X
Mobile Mammography Clinic/Center
—
OK
291U00000X
Clinical Medical Laboratory
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
OK
347C00000X
Private Vehicle
—
OK
Other
Enumeration date
08/14/2015
Last updated
01/17/2023
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