Organization
CHEYENNE AND ARAPAHO TRIBES OF OKLAHOMA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRIS TALLBEAR (COORDINATOR)
(405) 422-7681
Entity
Organization
Contact information
Practice address
100 RED MOON CIRCLE, CONCHO, OK 73022
(405) 422-7688
(405) 262-3423
Mailing address
100 RED MOON CIRCLE, CONCHO, OK 73022-2541
(405) 422-7681
(405) 262-3423
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
163WC1500X
Community Health Registered Nurse
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
04/24/2007
Last updated
09/11/2025
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