Organization
CLINTON INDIAN HEALTH CENTER
Active
Parent organization
LAWTON INDIAN HOSPITAL
Other names
CLINTON INDIAN HEALTH CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
LAWTON INDIAN HOSPITAL
Authorized official
MR. JOE BRYANT (AREA DIRECTOR)
(580) 331-3315
Entity
Organization
Contact information
Practice address
10321 N 2274 RD, CLINTON, OK 73601-7521
(580) 331-3404
(580) 331-3565
Mailing address
RR 1 BOX 3060, CLINTON, OK 73601-9303
(580) 331-3404
(580) 331-3565
Taxonomy
Speciality
Code
Description
License number
State
261QP0904X
Federal Public Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200119820A
—
OK
Enumeration date
10/09/2006
Last updated
11/26/2019
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