Organization Name: | CREEK NATION HOSPITAL AND CLINICS |
NPI Number: | 1194878835 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JUDY AARON (CHIEF EXECUTIVE OFFICER) |
Mailing Address: | 309 N 14th St Okemah |
State: | OK US |
Postal Code: | 748592028 |
Phone Number: | 9186231424 |
Fax Number: | 9186233015 |
NPI Enumeration Date: | 01/18/2007 |
NPI Last Update Date: | 06/12/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | EMS219 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |