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Organization

RED BERRY HEALTH SYSTEM

Active
Organization subpart
No

Provider details

NPI number
Authorized official
FORREST TAHDOOAHNIPPAH (CHAIRMAN)
(580) 360-5450
Entity
Organization

Contact information

Practice address
6403 W GORE BLVD, LAWTON, OK 73505-5801
(580) 699-5333
Mailing address
584 NW BINGO RD, LAWTON, OK 73507-1214
(580) 360-5450

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary

Other

Enumeration date
01/16/2026
Last updated
01/16/2026
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