SAC & FOX NATION NPI 1083821011

NPI Information

NPI: 1083821011
Provider Name: SAC & FOX NATION

Doing Business As: BLACK HAWK HEALTH CENTER

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
RR 2 BOX 247
STROUD, OK
ZIP 74079
Phone: (918) 968-9531
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SAC & FOX NATION is a primary care clinic center in Stroud, OK. SAC & FOX NATION NPI is 1083821011. The provider is registered as an organization entity type.
The provider Is Doing Business As Black Hawk Health Center.

The provider's business location address is:

RR 2 BOX 247
STROUD, OK
ZIP 74079-652
Phone: (918) 968-9531
Fax: (918) 968-0113

The provider's authorized official is Ledora Mcdougle .
The authorized official title is Health Director and has the following contact phone number (918) 968-9531.

The CLIA number assigned to this NPI record is 37D0857440 - ancillary testing site in health care center with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 5/17/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	R0069265	OKLAHOMA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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