Creek Nation Hospital & Clinics
Organization Active NPI Clinic/Center · Jenks, OK
NPI 1699375998 · NPPES record last updated Oct 27, 2020
Key facts
- NPI
- 1699375998
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- Legal business name
- CREEK NATION HOSPITAL & CLINICS
- Practice address
- 1000 Riverwalk Ter
Jenks, OK 74037-5666 - Phone
- (918) 296-5515
- NPI assigned
- Oct 27, 2020
- Organization subpart
- Yes
- Parent organization (as reported)
- CREEK NATION HOSPITAL & CLINICS
Authorized official
- Name
- Cathy A Franks
- Title
- A/R and Enrollment Manager
- Phone
- (918) 756-4333
Other NPIs on the same Medicare enrollment 7
Practitioners 65
-
Zubair Ahmad, M.D.
-
Rafel Alvarez, D.O.
-
Catherine Ann Bishop, MS, LPC, NCC, LADC
-
Susan N Bohnstedt, P.A.
-
Jacob C. Brown, PA-C
-
Dustin Cheney, D.O.
-
Ronda L Cherry, PA-C
-
Jeremy Scott Fullingim, D.O.
-
Kennedy Garcia, PA
-
Dillon Gillespie, DO
-
Anthony Wade Haney, M.D.
-
Sara Hart, APRN
-
Brandon Kirk Hatton, CRNA
-
Janice Hicks-Ulrich, L.P.C.
-
James Hobbs, DO
-
Jill Denise Holleman, CNS
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070821000130 | OK | Part B Supplier - Clinic/Group Practice | 5698786226 |
Receives reassigned benefits from 770 practitioners 7 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Jenks, OK; Okmulgee, OK; Tulsa, OK |
National Provider Directory
- Part of
- Creek Nation Hospital and Clinics
Locations
1000 Riverwalk Ter
Jenks, OK 74037
Phone (918) 296-5515
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Yes |
Addresses
Primary practice location
1000 Riverwalk Ter
Jenks, OK 74037-5666
Mailing address
1000 Riverwalk Terrace
Jenks, OK 74037-5666
Phone (918) 296-5515
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 411575430 | Other | OK | BCBS |
Other names
- RIVERWALK HEALTH AND WELLNESS CENTER
Other providers in Jenks, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 27, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.