Organization
CENTRAL OKLAHOMA AMERICAN INDIAN HEALTH COUNCIL, INC.
Active
Parent organization
CENTRAL OKLAHOMA AMERICAN INDIAN HEALTH COUNCIL, INC.
Other names
Oklahoma City Indian Clinic - Radiology Dept.
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTRAL OKLAHOMA AMERICAN INDIAN HEALTH COUNCIL, INC.
Authorized official
MS. ROBYN R SUNDAY-ALLEN MPH, RN (CEO)
(405) 948-4900
Entity
Organization
Contact information
Practice address
4913 W RENO AVE, OKLAHOMA CITY, OK 73127-6339
(405) 948-4900
(405) 948-4919
Mailing address
4913 W RENO AVE, OKLAHOMA CITY, OK 73127-6339
(405) 948-4900
(405) 948-4919
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
261QR0206X
Mammography Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100731010A
—
OK
01
—
371818
MEDICARE
—
Enumeration date
05/19/2008
Last updated
08/12/2020
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