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Organization

CHICKASAW NATION DIVISION OF HEALTH CHICKASAW NATION MEDICAL CENTER

Active
Parent organization
CHICKASAW NATION DIVISION OF HEALTH CHICKASAW NATION MEDICAL CENTER
Other names
Chickasaw Nation DME
Organization subpart
Yes

Provider details

NPI number
Legal business name
CHICKASAW NATION DIVISION OF HEALTH CHICKASAW NATION MEDICAL CENTER
Authorized official
ZACHARIAH F WILLIAMS PHARM. D. (BILLING AND CONTRACTING MANAGER)
(580) 272-5710
Entity
Organization

Contact information

Practice address
1904 CARL ALBERT BLVD STE B, ADA, OK 74820-3491
(580) 272-5413
(580) 272-1307
Mailing address
1904 CARL ALBERT BLVD STE B, ADA, OK 74820-3491
(580) 272-5413
(580) 272-1307

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
04/26/2019
Last updated
09/24/2024
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