Organization
DEPT OF HEALTH AND HUMAN SERVICES PHS INDIAN HEALTH SERVICE
Active
Other names
OCAO Indian Health Service
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE CAROL JENNINGS (ADMINISTRATIVE ASSISTANT)
(405) 615-8971
Entity
Organization
Contact information
Practice address
701 MARKET DR, OKLAHOMA CITY, OK 73114-8132
(405) 951-3815
(405) 951-3916
Mailing address
701 MARKET DR, OKLAHOMA CITY, OK 73114-8132
(405) 951-3815
(405) 951-3916
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
02/06/2017
Last updated
02/06/2017
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