Organization
CREEK NATION HOSPITAL & CLINICS
Active
Parent organization
MUSCOGEE (CREEK) NATION DEPARTMENT OF HEALTH
Other names
Wetumka Indian Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
MUSCOGEE (CREEK) NATION DEPARTMENT OF HEALTH
Authorized official
SHAWN TERRY PHARMD (SECRETARY OF HEALTH)
(918) 756-9909
Entity
Organization
Contact information
Practice address
325 S WASHITA ST, WETUMKA, OK 74883-5522
(405) 452-1313
(918) 756-2464
Mailing address
MCN PHARMACY, DEPT # 1249, TULSA, OK 74182-0001
(918) 756-9909
(918) 756-2464
Taxonomy
Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
405693
OK
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2135264
PK
—
Enumeration date
05/22/2012
Last updated
02/15/2024
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