Organization Name: | CHOCTAW NATION OF OKLAHOMA-PRINCIPAL CHIEF |
NPI Number: | 1316900095 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STEVEN PAUL HARRIS (DIRECTOR/ADMINISTRATOR) |
Mailing Address: | 702 Bryan Dr Suite 200 Durant |
State: | OK US |
Postal Code: | 747017000 |
Phone Number: | 5809313636 |
Fax Number: | 5809319016 |
NPI Enumeration Date: | 04/11/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | HO4228 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |