# CHICKASAW NATION DIVISION OF HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Chickasaw Nation Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982863791
- **Authorized official:** DENISE CARPENTER (CONTRACT MANAGEMENT COORDINATOR)
- **Authorized official phone:** (580) 421-4570

## Contact information

- **Practice address:** 1921 STONECIPHER BLVD, ADA, OK 74820-3439
- **Practice address phone:** (588) 421-4570
- **Mailing address:** 1921 STONECIPHER BLVD, ADA, OK 74820-3439
- **Mailing address phone:** (588) 421-4570

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/06/2008
- **Last updated:** 07/10/2025