Organization Name: | CREEK NATION HOSPITAL & CLINICS |
NPI Number: | 1487076519 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SENECA M SMITH (SECRETARY OF HEALTH) |
Mailing Address: | 31870 E State Highway 51 Coweta |
State: | OK US |
Postal Code: | 744297900 |
Phone Number: | 9182793200 |
Fax Number: | |
NPI Enumeration Date: | 01/08/2014 |
NPI Last Update Date: | 08/15/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QE0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | End-Stage Renal Disease (ESRD) Treatment |
Taxonomy Definition: |