CHOCTAW NATION HEALTH CARE CLINIC-POTEAU – NPI #1710953799
Clinic/Center

CHOCTAW NATION HEALTH CARE CLINIC-POTEAU is an AHC clinic located in POTEAU, OK. NPPES has assigned the NPI number 1710953799 to CHOCTAW NATION HEALTH CARE CLINIC-POTEAU on February 28, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CHOCTAW NATION HEALTH CARE CLINIC-POTEAU” is a dba name, the actual legal business name for this organization is CHOCTAW NATION OF OKLAHOMA. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QP2300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Primary Care

The NPI profile was previously updated about 2 years ago on Jan 17, 2024. 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 CHOCTAW NATION HEALTH CARE CLINIC-POTEAU below.

NPI Profile for
CHOCTAW NATION OF OKLAHOMA

NPI Number
1710953799
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
CHOCTAW NATION OF OKLAHOMA
Doing Business As (dba): CHOCTAW NATION HEALTH CARE CLINIC-POTEAU
Primary location
109 KERR AVE
POTEAU, OK 74953-5231
Phone: (918) 567-7000 Fax: (918) 567-7041
Mailing address
1 CHOCTAW WAY
TALIHINA, OK 74571-2022
Phone: (918) 567-7000 Fax: (918) 567-7041
Organization Subpart
No
Authorized Official
TERESA JACKSON
ADMINISTRATOR
Phone: (918) 567-7000
Updated
Certification Date
Jan 17, 2024

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 CHOCTAW NATION HEALTH CARE CLINIC-POTEAU

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
medicaidOK100699600G
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
261QP2300X
- Clinic/Center / Primary Care (Primary)
261QP0904X
- Clinic/Center / Public Health, Federal

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.