Organization
CHOCTAW NATION OF OKLAHOMA
Active
Other names
Talihina Community Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERESA KAY JACKSON (CEO)
(918) 567-7054
Entity
Organization
Contact information
Practice address
205 DALLAS ST, TALIHINA, OK 74571-2402
(918) 567-7000
(918) 567-7041
Mailing address
205 DALLAS ST, TALIHINA, OK 74571-2402
(918) 567-7000
(918) 567-7041
Taxonomy
Speciality
Code
Description
License number
State
261QP0904X
Federal Public Health Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100244980H
—
OK
Enumeration date
07/20/2011
Last updated
01/17/2024
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