Organization
WHITE EAGLE HEALTH CENTER
Active
Other names
Ponca Tribal Health Authority
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BENNETT ARKEKETA (TRIBAL ADMINISTRATOR)
(580) 765-2501
Entity
Organization
Contact information
Practice address
200 WHITE EAGLE DRIVE, PONCA CITY, OK 74601
(580) 765-2501
(580) 765-6348
Mailing address
200 WHITE EAGLE DRIVE, PONCA CITY, OK 74601
(580) 765-2501
(580) 765-6348
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100700590D
—
OK
Enumeration date
09/25/2006
Last updated
05/18/2016
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