Organization Name: | CREEK NATION HOSPITAL AND CLINICS |
NPI Number: | 1023049350 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JUDY AARON (CHIEF EXECUTIVE OFFICER) |
Mailing Address: | 1313 E 20th Okmulgee |
State: | OK US |
Postal Code: | 74447 |
Phone Number: | 9187560206 |
Fax Number: | |
NPI Enumeration Date: | 07/05/2006 |
NPI Last Update Date: | 04/30/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QH0100X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Health Service |
Taxonomy Definition: |