Organization
WHITE EAGLE HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH MARGERUM (DIRECTOR)
(580) 765-2501
Entity
Organization
Contact information
Practice address
200 WHITE EAGLE DRIVE, PONCA CITY, OK 74601
(580) 765-2501
(580) 765-0984
Mailing address
200 WHITE EAGLE DRIVE, PONCA CITY, OK 74601
(580) 765-2501
(580) 765-0984
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100700590H
—
OK
01
—
3722938
NCPDP NUMBER
—
Enumeration date
06/12/2007
Last updated
08/11/2025
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