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Organization
CHOCTAW NATION OF OKLAHOMA
Active
Organization
CHOCTAW NATION OF OKLAHOMA
Active
Other names
Choctaw Nation Health Clinic Atoka
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TODD A HALLMARK (EXECUTIVE OFFICER - DEPT OF HEALTH)
(918) 567-7115
Entity
Organization
Contact information
Practice address
1585 W LIBERTY RD, ATOKA, OK 74525-1702
(800) 349-7026
(918) 567-7180
Mailing address
ONE CHOCTAW WAY, TALIHINA, OK 74571
(800) 349-7026
(918) 567-7180
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
57-5309
OK
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
575309
OK
3336C0003X
Community/Retail Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100244980A
—
OK
05
—
100244980K
—
OK
01
—
3725326
NCPDP PROVIDER IDENTIFICATION NUMBER
—
01
—
57-5309
OK STATE BOARD OF PHARMACY
OK
Enumeration date
07/31/2008
Last updated
08/08/2025
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