Organization
WEWOKA INDIAN HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FARREL SMITH (CEO)
(405) 257-6282
Entity
Organization
Contact information
Practice address
36640 HWY 270, WEWOKA, OK 74884
(405) 257-6282
(405) 257-2696
Mailing address
PO BOX 1475, WEWOKA, OK 74884-1475
(405) 257-7318
(405) 257-2696
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100689220A
—
OK
Enumeration date
10/26/2005
Last updated
02/23/2021
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