Organization
CHOCTAW NATION OF OKLAHOMA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD A HALLMARK (EXECUTIVE OFFICER)
(918) 567-7115
Entity
Organization
Contact information
Practice address
508 N HWY 271, ANTLERS, OK 74523
(918) 567-7000
Mailing address
1 CHOCTAW WAY, TALIHINA, OK 74571-2022
Taxonomy
Speciality
Code
Description
License number
State
261QP0904X
Federal Public Health Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
05/22/2024
Last updated
05/22/2024
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