Provider Type Icon

WHITE EAGLE HEALTH CENTER NPI 1699875724


NPI Information

NPI: 1699875724
Provider Name: WHITE EAGLE HEALTH CENTER

Former Legal Business Name: PONCA TRIBAL HEALTH AUTHORITY

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
200 WHITE EAGLE DRIVE
PONCA CITY, OK
ZIP 74601
Phone: (580) 765-2501
Get Directions

WHITE EAGLE HEALTH CENTER is a clinic center in Ponca City, OK. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). WHITE EAGLE HEALTH CENTER NPI is 1699875724. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Ponca Tribal Health Authority.

The provider's business location address is:

200 WHITE EAGLE DRIVE
PONCA CITY, OK
ZIP 74601
Phone: (580) 765-2501
Fax: (580) 765-6348

The provider's authorized official is Bennett Arkeketa .
The authorized official title is Tribal Administrator and has the following contact phone number (580) 765-2501.

The enumeration date for this NPI number is 9/25/2006 and was last updated on 5/18/2016.


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
1261Q00000XClinic/CenterYes

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
1100700590DMEDICAIDOKLAHOMA
2400522110MEDICARE PIN

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.