NPIMap

Organization Active NPI

Chickasaw Nation Division of Health Chickasaw Nation Medical Center

Doing business as Chickasaw Nation Medical Center

  • General Acute Care Hospital
  • Ada, OK
National Provider Identifier
1255652673
Registry record updated Aug 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
CHICKASAW NATION DIVISION OF HEALTH CHICKASAW NATION MEDICAL CENTER
Doing business as
Chickasaw Nation Medical Center
Practice address
1921 Stonecipher Blvd.
Ada, OK 74820-3439
Phone
(580) 436-3980
Fax
(580) 421-6283
NPI assigned
Jun 21, 2010
Last updated
Aug 20, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2018

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

1921 Stonecipher Blvd.
Ada, OK 74820-3439

Mailing address

1925 Warrior Way
Ada, OK 74820
Phone (580) 421-4570

Other identifiers 1

IdentifierTypeStateIssuer
370180OtherOKMEDICARE #

Other names 1

  • Chickasaw Nation Medical Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
CNHS Finance13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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": "1277078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534723200000",
    "number": "1255652673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 WARRIOR WAY",
            "city": "ADA",
            "state": "OK",
            "postal_code": "74820",
            "telephone_number": "580-421-4570"
        },
        {
            "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",
            "fax_number": "580-421-6283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICKASAW NATION DIVISION OF HEALTH CHICKASAW NATION MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-21",
        "last_updated": "2018-08-20",
        "status": "A",
        "authorized_official_last_name": "MEEKS",
        "authorized_official_first_name": "KIRBI",
        "authorized_official_title_or_position": "CONTRACT MANAGEMENT COORDINATOR",
        "authorized_official_telephone_number": "580-421-4570"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE #",
            "identifier": "370180",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chickasaw Nation Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "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 Aug 20, 2018; 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.