Choctaw Nation of Oklahoma
Organization Active NPI Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy · McAlester, OK
NPI 1124175518 · NPPES record last updated Aug 8, 2025
Key facts
- NPI
- 1124175518
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X
- License
- 15-5155 (OK)
- Legal business name
- CHOCTAW NATION OF OKLAHOMA
- Practice address
- 1127 S George Nigh Expy
McAlester, OK 74501-7143 - Phone
- (800) 349-7026
- Fax
- (918) 567-7180
- NPI assigned
- Jan 5, 2007
- Organization subpart
- No
Authorized official
- Name
- Todd A Hallmark
- Title
- Executive Director - Dept of Health
- Phone
- (918) 567-7115
Owned or controlled facilities with NPI records 12
Other NPIs on the same Medicare enrollment 8
Other NPIs with the same Medicare PAC ID 9
Corporate family (same tax ID) 15
Practitioners 272
-
Crystal Abbott, APRN, PMHNP-BC
-
Erin Canaday Adams, RD, LD
-
Rafel Alvarez, D.O.
-
Dean Newton Anderson, P.A.-C
-
Michael H Arredondo, M.D.
-
Brian Ayres, OD
-
Stephen Arthur Back, D.O.
-
Dale Eugene Baughman, CRNA
-
Dee Duane Baughman, D.O.
-
Darci Lynn Bowen, APRN-CNP
-
Tyler Braaten, M.D.
-
Natasha Nichole Bray, D.O.
-
Damon Lee Brooks, D.O.
-
Donald E Brooks, D.O.
-
Paula Sue Brown, NP
-
Nicholas Bull, D.O.
-
Bob Burlison, P.A.-C
-
Allison Elaine Burns, PA-C
-
Larry Leon Burns Jr., PA - C
-
Baleigh Carano, NP
-
Samantha Chandler Herbert, APRN CNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TX, OK
All facility ownership & control disclosures 2
| Facility | Type | Role | Since |
|---|---|---|---|
| Choctaw Nation of Oklahoma |
Hospital | Operational/Managerial Control | Jul 1, 2001 |
| Choctaw Nation Nursing Home |
Skilled nursing facility | Adp of the SNF | Feb 1, 2022 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250203002996 | TX | Part B Supplier - Mass Immunization (Roster Biller Only) | 1759294838 |
8 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Talihina, OK; Stigler, OK; Poteau, OK; McAlester, OK; Idabel, OK; Durant, OK; Broken Bow, OK; Atoka, OK… |
| O20250604002208 | OK | DME Supplier - Indian Health Service Or Tribal Facility |
1759294838 | Practice locations: McAlester, OK |
National Provider Directory
- Tax ID family
- Choctaw Nation Healthcare
Locations
1127 S George Nigh Expy
McAlester, OK 74501
Phone (800) 349-7026
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 15-5155 | OK | |
| Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 332800000X | 15-5155 | OK | Yes |
| Community/Retail Pharmacy | 3336C0003X | |||
| Specialty Pharmacy | 3336S0011X |
Addresses
Primary practice location
1127 S George Nigh Expy
McAlester, OK 74501-7143
Mailing address
One Choctaw Way
Talihina, OK 74571
Phone (918) 567-7000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100244980L | Medicaid | OK | |
| 3721568 | Other | NCPDP | |
| 100244980C | Medicaid | OK | |
| 15-5155 | Other | OK | OK STATE BOARD OF PHARMACY |
Other names
- Choctaw Nation Health Clinic-McAlester
Other providers in McAlester, OK
- Sherry Lynn Chapman
- Brandie Cheeley
- Children, Adolescent and Family
- Linda Sue Chlebik
- Choctaw Nation Health Care System
- Choctaw Nation of Oklahoma
- Jinok Chung
- Sierra Summer Cicero
- Citizen'S Advisory Committee for Pittsburg County Youth Shelter
- City of McAlester
All providers in McAlester, OK · Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 8, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.