Organization
CHEROKEE NATION COMPREHENSIVE CARE AGENCY
Active
Parent organization
CHEROKEE NATION
Other names
Cherokee Elder Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHEROKEE NATION
Authorized official
SHARON K. HILTON (PROGRAM DIRECTOR)
(918) 453-5599
Entity
Organization
Contact information
Practice address
1387 W FOURTH ST, TAHLEQUAH, OK 74464
(918) 431-4111
(918) 431-4112
Mailing address
PO BOX 948, TAHLEQUAH, OK 74465-0948
(918) 431-4111
(918) 431-4112
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
H4142
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H4142
CMS
OK
Enumeration date
12/06/2007
Last updated
03/06/2013
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