NPIMap

Organization Active NPI

Indian Health Service-Wewoka

  • Federal Public Health Clinic/Center
  • Wewoka, OK
National Provider Identifier
1225483522
Registry record updated Apr 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federal Public Health Clinic/CenterTaxonomy code 261QP0904X
License
VA0202205912 Issued in VA
Legal business name
INDIAN HEALTH SERVICE-WEWOKA
Practice address
JCT Hwys 56 & 270
Wewoka, OK 74884
Phone
(405) 257-7361
NPI assigned
Apr 25, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2016

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

Authorized official

Name
Tracy Farrill, PHARM D.
Title
Chief Pharmacist
Phone
(405) 257-7345

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federal Public Health Clinic/Center 261QP0904X VA0202205912 VA Primary

Addresses

Primary practice location

JCT Hwys 56 & 270
Wewoka, OK 74884

Mailing address

JCT Hwys 56 & 270
Wewoka, OK 74848
Phone (405) 257-7361

National Provider Directory

National Provider Directory
Tax ID family
DHHS PHS Indian HLTH4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1461542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461542400000",
    "number": "1225483522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "JCT HWYS 56 & 270",
            "city": "WEWOKA",
            "state": "OK",
            "postal_code": "74848",
            "telephone_number": "405-257-7361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "JCT HWYS 56 & 270",
            "city": "WEWOKA",
            "state": "OK",
            "postal_code": "74884",
            "telephone_number": "405-257-7361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIAN HEALTH SERVICE-WEWOKA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-25",
        "last_updated": "2016-04-25",
        "status": "A",
        "authorized_official_last_name": "FARRILL",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "CHIEF PHARMACIST",
        "authorized_official_telephone_number": "405-257-7345",
        "authorized_official_credential": "PHARM D."
    },
    "taxonomies": [
        {
            "code": "261QP0904X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, Federal",
            "state": "VA",
            "license": "VA0202205912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wewoka, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2016; 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.