Cherokee Nation
Organization Active NPI Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy · Muskogee, OK
NPI 1497791982 · NPPES record last updated Nov 15, 2022
Key facts
- NPI
- 1497791982
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X
- License
- 45259 (OK)
- Legal business name
- CHEROKEE NATION
- Practice address
- 1001 S 41St St E
St E
Muskogee, OK 74403-6253 - Phone
- (918) 687-0201
- Fax
- (918) 687-0665
- NPI assigned
- Jun 21, 2006
- Organization subpart
- No
Authorized official
- Name
- Michelle Graham, MHA
- Title
- Dir., Health Education & Staff Dev
- Phone
- (539) 234-1977
Corporate family (same tax ID) 20
Practitioners 1
-
Rebel Dawn Smith, ARNP
National Provider Directory
- Tax ID family
- Talking Leaves Job Corps
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 332800000X | 45259 | OK | Yes |
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Specialty Pharmacy | 3336S0011X |
Addresses
Primary practice location
1001 S 41St St E
St E
Muskogee, OK 74403-6253
Mailing address
Cherokee Nation
Dept 2269
Tulsa, OK 74182-0001
Phone (918) 453-5000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100239109F | Medicaid | OK | |
| 2076237 | Other | PK |
Other names
- THREE RIVERS HEALTH CENTER RX
Other providers in Muskogee, OK
- Angela Sue Charlton
- Karen Chase
- Debasish Chaudhuri
- Allison Rebecca Chavarria
- Nancy S Cheely
- Cherokee Nation
- Quintevin Raymond Cherry
- Sherika Miles Cherry
- Carissa Chesser
- Children'S Clinic of Muskogee, LLC
All providers in Muskogee, 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 Nov 15, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.