Organization
WICHITA AND AFFILIATED TRIBES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRI PARTON (PRESIDENT)
(405) 247-2425
Entity
Organization
Contact information
Practice address
1 1/4 MI. N HWY 281, ANADARKO, OK 73005
(405) 247-2425
(405) 247-2430
Mailing address
PO BOX 729, ANADARKO, OK 73005
(405) 247-2425
(405) 247-2430
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
133N00000X
Nutritionist
Primary
—
—
133NN1002X
Nutrition Education Nutritionist
—
—
163WD0400X
Diabetes Educator Registered Nurse
—
—
164W00000X
Licensed Practical Nurse
—
—
174200000X
Meals Provider
—
—
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
291U00000X
Clinical Medical Laboratory
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332U00000X
Home Delivered Meals
—
—
3416L0300X
Land Ambulance
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
09/12/2019
Last updated
03/17/2021
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