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CHOCTAW NATION HEALTH SERVICES NPI 1376826933


NPI Information

NPI: 1376826933
Provider Name: CHOCTAW NATION HEALTH SERVICES
Classification: Clinic/Center - 261QM0855X
Entity Type: Organization

Specialization: Adolescent and Children Mental Health

CLIA Number: 37D1043998

Address:
902 E LINCOLN RD
IDABEL, OK
ZIP 74745
Phone: (580) 286-2600
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CHOCTAW NATION HEALTH SERVICES is an adolescent and children mental health clinic center in Idabel, OK. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. CHOCTAW NATION HEALTH SERVICES NPI is 1376826933. The provider is registered as an organization entity type.

The provider's business location address is:

902 E LINCOLN RD
IDABEL, OK
ZIP 74745-337
Phone: (580) 286-2600
Fax: (580) 286-1087

The provider's authorized official is Teresa Jackson .
The authorized official title is Administrator and has the following contact phone number (918) 567-7054.

The CLIA number assigned to this NPI record is 37D1043998 - rural health clinic with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 9/21/2011 and was last updated on 1/24/2024.


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
1261QM0850XClinic/CenterAdult Mental HealthNo
2261QM0855XClinic/CenterAdolescent and Children Mental HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1101Y00000XMEDICAIDOKLAHOMA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.