Active NPI
Central Oklahoma American Indian Health Council, Inc.
- Radiology Clinic/Center
- Oklahoma City, OK
National Provider Identifier
1225295272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Clinic/Center
- Legal business name
- CENTRAL OKLAHOMA AMERICAN INDIAN HEALTH COUNCIL, INC.
- Doing business as
- Oklahoma City Indian Clinic - Radiology Dept.
- Practice address
- 4913 W Reno Ave
Oklahoma City, OK 73127-6339 - Phone
- (405) 948-4900
- Fax
- (405) 948-4919
- NPI assigned
- May 19, 2008
- Organization subpart
- Yes
- Parent organization
- CENTRAL OKLAHOMA AMERICAN INDIAN HEALTH COUNCIL, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Robyn R Sunday-Allen, MPH, RN
- Title
- Ceo
- Phone
- (405) 948-4900
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Clinic/Center | 261QR0200X | Primary | ||
| Mammography Clinic/Center | 261QR0206X |
Addresses
Primary practice location
4913 W Reno Ave
Oklahoma City, OK 73127-6339
Mailing address
4913 W Reno Ave
Oklahoma City, OK 73127-6339
Phone (405) 948-4900
Other practice location 1
5208 W Reno Ave
Oklahoma City, OK 73127-6344
Phone (405) 948-4900
Other practice location 2
309 S Ann Arbor Ave
Oklahoma City, OK 73128-1112
Phone (405) 948-4900
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 371818 | Other | MEDICARE | |
| 100731010A | Medicaid | OK |
Other names 1
- Oklahoma City Indian Clinic - Radiology Dept.
National Provider Directory
National Provider Directory- Tax ID family
- Central Oklahoma American Indian Health Council Inc
- Part of
- Central Oklahoma American Indian Health Council Inc
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinic/Center
- Oklahoma City, OK
- NPI 1205417219
-
- Clinical Medical Laboratory
- Oklahoma City, OK
- NPI 1780841734
-
- Pharmacy
- Oklahoma City, OK
- NPI 1811980154
-
- Mail Order Pharmacy
- Oklahoma City, OK
- NPI 1942196621
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Federally Qualified Health Center (FQHC)
- Oklahoma City, OK
- NPI 1407969728
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211155200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1597190400000",
"number": "1225295272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4913 W RENO AVE",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731276339",
"telephone_number": "405-948-4900",
"fax_number": "405-948-4919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4913 W RENO AVE",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731276339",
"telephone_number": "405-948-4900",
"fax_number": "405-948-4919"
}
],
"practiceLocations": [
{
"address_1": "5208 W Reno Ave",
"address_purpose": "LOCATION",
"city": "Oklahoma City",
"state": "OK",
"postal_code": "731276344",
"country_code": "US",
"telephone_number": "405-948-4900",
"fax_number": "405-948-4933",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "309 S Ann Arbor Ave",
"address_purpose": "LOCATION",
"city": "Oklahoma City",
"state": "OK",
"postal_code": "731281112",
"country_code": "US",
"telephone_number": "405-948-4900",
"fax_number": "405-948-4933",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CENTRAL OKLAHOMA AMERICAN INDIAN HEALTH COUNCIL, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CENTRAL OKLAHOMA AMERICAN INDIAN HEALTH COUNCIL, INC.",
"enumeration_date": "2008-05-19",
"last_updated": "2020-08-12",
"certification_date": "2020-08-12",
"status": "A",
"authorized_official_last_name": "SUNDAY-ALLEN",
"authorized_official_first_name": "ROBYN",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "405-948-4900",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MPH, RN"
},
"taxonomies": [
{
"code": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QR0206X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology, Mammography",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "371818",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100731010A",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Oklahoma City Indian Clinic - Radiology Dept.",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Oklahoma City Indian Clinic - Radiology Dept.",
"code": "3",
"type": "Doing Business As"
}
]
}
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- Central Oklahoma American Indian Health Council, Inc.
- Central Oklahoma American Indian Health Council, Inc.
- Central Oklahoma American Indian Health Council, Inc.
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.