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Organization

CHEROKEE NATION

Active
Other names
Sam Hider Health Center
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STEPHEN ROBERT JONES DDS (EXECUTIVE DIRECTOR, HEALTH SERVICES)
(918) 253-1700
Entity
Organization

Contact information

Practice address
859 E. MELTON DRIVE, JAY, OK 74346-4205
(918) 253-4271
(918) 253-4938
Mailing address
PO BOX 1069, TAHLEQUAH, OK 74465-1069
(539) 234-2694
(539) 234-2475

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100700620A
OK
01
370171
MEDICARE PART A
OK
Enumeration date
08/01/2006
Last updated
11/08/2022
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