ABSENTEE SHAWNEE TRIBAL HEALTH AUTHORITY, INC. – NPI #1942253521
Clinic/Center

ABSENTEE SHAWNEE TRIBAL HEALTH AUTHORITY, INC. is an AHC clinic located in SHAWNEE, OK. NPPES has assigned the NPI number 1942253521 to ABSENTEE SHAWNEE TRIBAL HEALTH AUTHORITY, INC. on May 18, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM1300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Multi-Specialty

The NPI profile was last updated on Oct 27, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ABSENTEE SHAWNEE TRIBAL HEALTH AUTHORITY, INC. below.

NPI Profile for
ABSENTEE SHAWNEE TRIBAL HEALTH AUTHORITY, INC.

NPI Number
1942253521
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ABSENTEE SHAWNEE TRIBAL HEALTH AUTHORITY, INC.
Primary location
2029 S GORDON COOPER DRIVE
SHAWNEE, OK 74801
Phone: (405) 878-5850 Fax: (405) 214-4227
Mailing address
15951 LITTLE AXE DR
NORMAN, OK 73026-9088
Phone: (405) 447-0300 Fax: (405) 701-7914
Organization Subpart
No
Authorized Official
MARTY LOFGREN
MEDICAL DIRECTOR
Phone: (405) 447-0300
Updated
Certification Date
Oct 27, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for ABSENTEE SHAWNEE TRIBAL HEALTH AUTHORITY, INC.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidOK100699860J
medicaidOK100699860K
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM1300X
- Clinic/Center / Multi-Specialty (Primary)
OK

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.