Organization Name: | ANADARKO INDIAN HEALTH CENTER |
NPI Number: | 1881637403 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN DAUGHERTY (AREA DIRECTOR) |
Mailing Address: | 115 Ne Oldtown Drive Anadarko |
State: | OK US |
Postal Code: | 73005 |
Phone Number: | 4052472458 |
Fax Number: | 5802476653 |
NPI Enumeration Date: | 06/13/2006 |
NPI Last Update Date: | 01/23/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP0904X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Public Health, Federal |
Taxonomy Definition: |