Organization
PAWNEE INDIAN HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE VALLIERE (CEO)
(918) 762-6625
Entity
Organization
Contact information
Practice address
1201 HERITAGE CIR, PAWNEE, OK 74058-3744
(918) 762-6638
Mailing address
1201 HERITAGE CIR, PAWNEE, OK 74058-3744
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100231960E
—
OK
05
—
100689220C
—
OK
Enumeration date
09/15/2006
Last updated
01/30/2008
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