Hastings Indian Medical Center

Primary specialty

Rural Acute Care HospitalTaxonomy code 282NR1301X

License

19710 Issued in OK

Legal business name

HASTINGS INDIAN MEDICAL CENTER

Practice address

100 S Bliss Ave
Tahlequah, OK 74464-2512

Phone

(918) 458-3100

NPI assigned

Nov 1, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Dante Perez, MD

Title

Pediatrician

Phone

(918) 458-3120

Specialties & licenses 1

Addresses

Other names 1

• IHS Former legal business name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003807827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S BLISS AVE",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744642512",
            "telephone_number": "918-458-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S BLISS AVE",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744642512",
            "telephone_number": "918-458-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HASTINGS INDIAN MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "DANTE",
        "authorized_official_title_or_position": "PEDIATRICIAN",
        "authorized_official_telephone_number": "918-458-3120",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": "OK",
            "license": "19710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IHS",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Emma Beth Harp, D.O.
• Amanda Harrie
• Brian T. Harris, D.O.
• Kendall Harris, DO
• Beverly Hasson, P.T.
• Hatfield Family Eye Care, PLLC
• Lisa Ann Hatfield, O.D.
• Callie Ann Hathcoat, LADC
• Jonathan Matthew Hatley, O.D.
• Elizabeth Jo Havard, RDN, LD

• Rural Acute Care Hospital in Tahlequah, OK
• Providers in Tahlequah, OK by specialty
• Rural Acute Care Hospital in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.