Organization
CHICKASAW NATION MEDICAL CENTER BEH. HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BARBARA UNDERWOOD LCSW (DIRECTOR)
(580) 421-4591
Entity
Organization
Contact information
Practice address
1921 STONECIPHER BLVD, ADA, OK 74820
(580) 421-4591
(580) 421-4586
Mailing address
1921 STONECIPHER BLVD, ADA, OK 74820
(580) 421-4591
(580) 421-4586
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
3927
OK
Other
Enumeration date
09/28/2012
Last updated
09/28/2012
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