Organization
CREEK NATION HOSPITAL & CLINICS
Active
Parent organization
MUSCOGEE (CREEK) NATION DEPARTMENT OF HEALTH
Other names
OKEMAH COMMUNITY CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MUSCOGEE (CREEK) NATION DEPARTMENT OF HEALTH
Authorized official
DUSTY ALLEN PHARMD (PHARMACY BILLING AND CONTRACT MGR)
(918) 756-9909
Entity
Organization
Contact information
Practice address
1800 E COPLIN ST, OKEMAH, OK 74859-4642
(918) 623-1424
(918) 756-2464
Mailing address
MCN PHARMACY, DEPT # 1249, TULSA, OK 74182-0001
(918) 756-9909
(918) 756-2464
Taxonomy
Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
51-4259
OK
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100730400B
—
OK
01
—
2076068
PK
—
Enumeration date
08/30/2006
Last updated
02/15/2024
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