NPIMap

Organization Active NPI

Choctaw Nation of Oklahoma

  • Ambulatory Surgical Clinic/Center
  • Talihina, OK
National Provider Identifier
1104344027
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
CHOCTAW NATION OF OKLAHOMA
Practice address
1 Choctaw Way
Talihina, OK 74571-2022
Phone
(918) 567-7000
NPI assigned
Aug 30, 2017
Last updated
Aug 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Authorized official

Name
Ms. Teresa Kay Jackson
Title
Ceo
Phone
(918) 567-7000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X OK Primary
Federal Public Health Clinic/Center 261QP0904X NU

Addresses

Primary practice location

1 Choctaw Way
Talihina, OK 74571-2022

Mailing address

PO Box 1577
Durant, OK 74702-1577
Phone (580) 916-9140

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081003000576 TX Part B Supplier - Ambulatory Surgical Center 1759294838 2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Durant, OK; Talihina, OK

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Choctaw Nation Healthcare16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

Interoperability endpoints

  • FHIR API: https://epicproxy.et1380.epichosted.com/APIPROXYPRD/api/FHIR/R4

NPI Registry JSON

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

{
    "created_epoch": "1504051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755734400000",
    "number": "1104344027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1577",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747021577",
            "telephone_number": "580-916-9140",
            "fax_number": "580-916-9142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CHOCTAW WAY",
            "city": "TALIHINA",
            "state": "OK",
            "postal_code": "745712022",
            "telephone_number": "918-567-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOCTAW NATION OF OKLAHOMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-30",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "918-567-7000",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "OK",
            "license": null,
            "primary": true
        },
        {
            "code": "261QP0904X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, Federal",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Talihina, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.