Organization
CHEROKEE NATION
Active
Other names
Cooweescoowee Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN ROBERT JONES DDS (EXECUTIVE DIRECTOR, HEALTH SERVICES)
(918) 535-6000
Entity
Organization
Contact information
Practice address
395200 W 2900 RD, OCHELATA, OK 74051-2463
(918) 535-6000
(918) 535-2694
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
370171
MEDICARE PART A
OK
Enumeration date
05/28/2015
Last updated
11/08/2022
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