NPIMap

Organization Active NPI

Cherokee Nation

  • Multi-Specialty Clinic/Center
  • Jay, OK
National Provider Identifier
1659388965
Registry record updated Nov 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
CHEROKEE NATION
Practice address
859 E. Melton Drive
Jay, OK 74346-4205
Phone
(918) 253-4271
Fax
(918) 253-4938
NPI assigned
Aug 1, 2006
Last updated
Nov 8, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2022

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

Authorized official

Name
Dr. Stephen Robert Jones, DDS
Title
Executive Director, Health Services
Phone
(918) 253-1700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X OK Primary

Addresses

Primary practice location

859 E. Melton Drive
Jay, OK 74346-4205

Mailing address

PO Box 1069
Tahlequah, OK 74465-1069
Phone (539) 234-2694

Other identifiers 2

IdentifierTypeStateIssuer
370171OtherOKMEDICARE PART A
100700620AMedicaidOK

Other names 1

  • Sam Hider Health Center Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031106000628 TX Part B Supplier - Clinic/Group Practice 5799698742 Receives reassigned benefits from 1,090 practitioners
12 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Tahlequah, OK; Vinita, OK; Stilwell, OK; Sallisaw, OK; Ochelata, OK; Nowata, OK; Muskogee, OK; Jay, OK…

Other NPIs on the same Medicare enrollment 10

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D2200809Sam Hider Health Center - Dental859 E Melton Drive, Jay, OK 74346Certificate of waiverNov 16, 2026

National Provider Directory

National Provider Directory

Locations

501 E 5th St
Ste B
Bartlesville, OK 74003

Practitioners & affiliated clinicians

Practitioners 107

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 107

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667865600000",
    "number": "1659388965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1069",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744651069",
            "telephone_number": "539-234-2694",
            "fax_number": "539-234-2475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "859 E. MELTON DRIVE",
            "city": "JAY",
            "state": "OK",
            "postal_code": "743464205",
            "telephone_number": "918-253-4271",
            "fax_number": "918-253-4938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEROKEE NATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR, HEALTH SERVICES",
        "authorized_official_telephone_number": "918-253-1700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART A",
            "identifier": "370171",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100700620A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sam Hider Health Center",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Sam Hider Health Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Jay, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.