Organization
DHHS US PUBLIC HEALTH SERVICE INDIAN HEALTH SERVICE
Active
Organization
DHHS US PUBLIC HEALTH SERVICE INDIAN HEALTH SERVICE
Active
Other names
Pawhuska Indian Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMY D EDEN MPH (BUSINESS OFFICE MANAGER)
(918) 287-4491
Entity
Organization
Contact information
Practice address
101S MOORE AVE, CLAREMORE, OK 74017-5047
(918) 287-4491
(918) 287-2347
Mailing address
715 GRANDVIEW AVE, PAWHUSKA, OK 74056
(918) 287-4491
(918) 287-2347
Taxonomy
Speciality
Code
Description
License number
State
261QP0904X
Federal Public Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100231960F
MEDICAID RX
OK
05
—
100689200D
—
OK
01
—
100700620N
MEDICAID CAP
OK
Enumeration date
09/27/2006
Last updated
08/31/2009
Update your record
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