Organization
CHOCTAW NATION OF OKLAHOMA
Active
Other names
Choctaw Nation Health Care Clinic - Durant
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
1801 CHUKKA HINA, DURANT, OK 74701-3085
(580) 920-2100
(580) 924-7215
Taxonomy
Speciality
Code
Description
License number
State
261QP0904X
Federal Public Health Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
282NR1301X
Rural Acute Care Hospital
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100244980T
—
OK
01
—
370172
MEDICARE
OK
Enumeration date
10/29/2013
Last updated
12/06/2023
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