Organization
CITIZEN POTAWATOMI NATION
Active
Organization
CITIZEN POTAWATOMI NATION
Active
Other names
Citizen Potawatomi Nation West Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRIS SKILLINGS (DIRECTOR OF HEALTH SERVICES)
(405) 964-5770
Entity
Organization
Contact information
Practice address
781 GRAND CASINO BLVD, SHAWNEE, OK 74804-1005
(405) 964-5770
(405) 964-5785
Mailing address
781 GRAND CASINO BLVD, SHAWNEE, OK 74804-1005
(405) 964-5770
(405) 964-5783
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100211300E
—
OK
05
—
100244300F
—
OK
05
—
100244300G
—
OK
Enumeration date
06/29/2011
Last updated
02/28/2025
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