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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