Central Oklahoma American Indian Health Council, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

CENTRAL OKLAHOMA AMERICAN INDIAN HEALTH COUNCIL, INC.

Doing business as

Oklahoma City Indian Clinic Laboratory

Practice address

4913 W Reno Ave
Oklahoma City, OK 73127-6339

Phone

(405) 948-4900

Fax

(405) 948-4936

NPI assigned

May 19, 2008

Organization subpart

Yes

Parent organization

CENTRAL OKLAHOMA AMERICAN INDIAN HEALTH COUNCIL, INC.As reported in NPPES

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

Authorized official

Name

Ms. Robyn R Sunday-Allen, MPH, RN

Title

Ceo

Phone

(405) 948-4900

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Oklahoma City Indian Clinic Laboratory Doing business as

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

CLIA laboratory certificates

Tax ID family

Central Oklahoma American Indian Health Council Inc5 organizations share this tax ID, including this one

Part of

Central Oklahoma American Indian Health Council Inc

Other organizations with this tax ID 4

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

• Central Oklahoma American Indian Health Council, Inc.

  dba Oklahoma City Indian Clinic

  • Clinic/Center
  • Oklahoma City, OK
  • NPI 1205417219
  NPD tax ID
• Central Oklahoma American Indian Health Council, Inc.

  dba Oklahoma City Indian Clinic - Radiology Dept.

  • Radiology Clinic/Center
  • Oklahoma City, OK
  • NPI 1225295272
  NPD tax ID
• Central Oklahoma American Indian Health Council, Inc.

  dba Oklahoma City Indian Clinic Pharmacy

  • Pharmacy
  • Oklahoma City, OK
  • NPI 1811980154
  NPD tax ID
• Central Oklahoma American Indian Health Council, Inc.

  dba Oklahoma City Indian Clinic Mail Order Pharmacy

  • Mail Order Pharmacy
  • Oklahoma City, OK
  • NPI 1942196621
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Central Oklahoma American Indian Health Council, Inc.

  dba Oklahoma City Indian Clinic

  • Federally Qualified Health Center (FQHC)
  • Oklahoma City, OK
  • NPI 1407969728
  NPPES parent name

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597190400000",
    "number": "1780841734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4913 W RENO AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731276339",
            "telephone_number": "405-948-4900",
            "fax_number": "405-948-4936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4913 W RENO AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731276339",
            "telephone_number": "405-948-4900",
            "fax_number": "405-948-4936"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5208 W Reno Ave",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731276344",
            "country_code": "US",
            "telephone_number": "405-948-4900",
            "fax_number": "405-948-4933",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "309 S Ann Arbor Ave",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731281112",
            "country_code": "US",
            "telephone_number": "405-948-4900",
            "fax_number": "405-948-4933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CENTRAL OKLAHOMA AMERICAN INDIAN HEALTH COUNCIL, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTRAL OKLAHOMA AMERICAN INDIAN HEALTH COUNCIL, INC.",
        "enumeration_date": "2008-05-19",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A",
        "authorized_official_last_name": "SUNDAY-ALLEN",
        "authorized_official_first_name": "ROBYN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "405-948-4900",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MPH, RN"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "37D0663081",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "37D2025076",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100731010A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "371818",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oklahoma City Indian Clinic Laboratory",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Oklahoma City Indian Clinic Laboratory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Central Okc Anesthesia, PLLC
• Central Oklahoma Ambulatory Surgical Center, Inc.
• Central Oklahoma American Indian Health Council, Inc. (Oklahoma City Indian Clinic)
• Central Oklahoma American Indian Health Council, Inc. (Oklahoma City Indian Clinic - Radiology Dept.)
• Central Oklahoma American Indian Health Council, Inc. (Oklahoma City Indian Clinic)
• Central Oklahoma American Indian Health Council, Inc. (Oklahoma City Indian Clinic Pharmacy)
• Central Oklahoma American Indian Health Council, Inc. (Oklahoma City Indian Clinic Mail Order Pharmacy)
• Central Oklahoma Anesthesia & Pain Management Services PC
• Central Oklahoma Anesthesia PC
• Central Oklahoma Clinical Associates, PLLC (George R. Petry, MD)

• Clinical Medical Laboratory in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Clinical Medical Laboratory in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.