CITIZEN POTAWATOMI NATION WEST CLINIC is an indian health service tribal urban indian health i t u pharmacy in Shawnee, OK. The provider is an Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603. CITIZEN POTAWATOMI NATION WEST CLINIC NPI is 1598053993. The provider is registered as an organization entity type.
The provider's business location address is:
781 GRAND CASINO BLVD
SHAWNEE, OK
ZIP 74804-005
Phone: (405) 964-5770
Fax: (405) 964-5785
The provider's authorized official is Doyle Fortney .
The authorized official title is West Clinic Manager and has the following contact phone number (405) 964-5770.
The enumeration date for this NPI number is 7/19/2011 and was last updated on 11/16/2012.