Organization
GREAT SALT PLAINS HEALTH CENTER, INC.
Active
Organization
GREAT SALT PLAINS HEALTH CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIM STARKEY (CEO)
(580) 596-2800
Entity
Organization
Contact information
Practice address
405 S. OKLAHOMA AVE, CHEROKEE, OK 73728
(580) 596-2800
(580) 596-2800
Mailing address
405 S. OKLAHOMA AVE, CHEROKEE, OK 73728
(580) 596-2800
(580) 596-2800
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200135680A
—
OK
Enumeration date
12/03/2007
Last updated
07/03/2023
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