Organization
CHICKASAW NATION DIVISION OF HEALTH
Active
Other names
Chickasaw Nation Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE CARPENTER (CONTRACT MANAGEMENT COORDINATOR)
(580) 421-4570
Entity
Organization
Contact information
Practice address
1921 STONECIPHER BLVD, ADA, OK 74820
(580) 436-3980
(580) 421-6283
Mailing address
1921 STONECIPHER BLVD, ADA, OK 74820-3439
(580) 421-4570
(580) 421-6283
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
EMS300
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100747670E
—
OK
01
—
EMS300
STATE LICENSE
OK
Enumeration date
02/04/2008
Last updated
07/10/2025
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