Organization
CHOCTAW NATION OF OKLAHOMA
Active
Other names
Choctaw Nation Health Clinic-Idabel
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TERESA KAY JACKSON (ADMINISTRATOAR)
(918) 567-7000
Entity
Organization
Contact information
Practice address
902 E LINCOLN RD, IDABEL, OK 74745-7337
(918) 567-7000
(918) 567-7041
Mailing address
1 CHOCTAW WAY, TALIHINA, OK 74571-2022
(918) 567-7000
(918) 567-7041
Taxonomy
Speciality
Code
Description
License number
State
261QP0904X
Federal Public Health Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100699600U
—
OK
Enumeration date
02/28/2006
Last updated
08/21/2025
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