NPIMap

Organization Active NPI

Chickasaw Nation Division of Health

Doing business as Chickasaw Nation Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Ada, OK
National Provider Identifier
1174063903
Registry record updated Feb 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
Legal business name
CHICKASAW NATION DIVISION OF HEALTH
Doing business as
Chickasaw Nation Medical Center
Practice address
1921 Stonecipher Blvd
Ada, OK 74820-3439
Phone
(580) 436-3980
NPI assigned
Feb 27, 2017
Last updated
Feb 27, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
CHICKASAW NATION DIVISION OF HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 27, 2017

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

Authorized official

Name
Kirbi M Meeks
Title
Contract Management Coordinator
Phone
(580) 421-4570

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X Primary

Addresses

Primary practice location

1921 Stonecipher Blvd
Ada, OK 74820-3439

Mailing address

1921 Stonecipher Blvd
Ada, OK 74820-3439
Phone (580) 436-3980

Other names 1

  • Chickasaw Nation Medical Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Chickasaw Nation Division of Health Chickasaw Nation Medical Center13 organizations share this tax ID, including this one
Part of
Chickasaw Nation Division of Health Chickasaw Nation Medical Center

Other organizations with this tax ID 12

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

Locations

1921 Stonecipher Dr
Ada, OK 74820
Phone (580) 421-4570

NPI Registry JSON

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

{
    "created_epoch": "1488153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488153600000",
    "number": "1174063903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 STONECIPHER BLVD",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748203439",
            "telephone_number": "580-436-3980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 STONECIPHER BLVD",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748203439",
            "telephone_number": "580-436-3980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICKASAW NATION DIVISION OF HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHICKASAW NATION DIVISION OF HEALTH",
        "enumeration_date": "2017-02-27",
        "last_updated": "2017-02-27",
        "status": "A",
        "authorized_official_last_name": "MEEKS",
        "authorized_official_first_name": "KIRBI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CONTRACT MANAGEMENT COORDINATOR",
        "authorized_official_telephone_number": "580-421-4570"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chickasaw Nation Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ada, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2017; 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.