Organization
CHOCTAW NATION OF OKLAHOMA
Active
Other names
Choctaw Nation
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERESA KAY JACKSON (CEO)
(918) 567-7000
Entity
Organization
Contact information
Practice address
1801 CHUKKA HINA, DURANT, OK 74701-3085
(580) 920-2100
(580) 924-7215
Mailing address
PO BOX 1577, DURANT, OK 74702-1577
(580) 920-2100
(580) 924-7215
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
261QP0904X
Federal Public Health Clinic/Center
—
—
Other
Enumeration date
02/03/2017
Last updated
01/16/2024
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