NPIMap

Organization Active NPI

Choctaw Nation of Oklahoma

Doing business as Choctaw Nation Rubin White Poteau Clinic Pharmacy

  • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
  • Poteau, OK
National Provider Identifier
1851448526
Registry record updated Aug 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Indian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacyTaxonomy code 332800000X
Legal business name
CHOCTAW NATION OF OKLAHOMA
Doing business as
Choctaw Nation Rubin White Poteau Clinic Pharmacy
Practice address
109 Kerr Ave
Poteau, OK 74953-5270
Phone
(008) 349-7026
Fax
(918) 567-7180
NPI assigned
Jan 4, 2007
Last updated
Aug 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2025

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

Authorized official

Name
Todd A Hallmark
Title
Executive Officer - Dept of Health
Phone
(918) 567-7115

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X Primary
Community/Retail Pharmacy 3336C0003X
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

109 Kerr Ave
Poteau, OK 74953-5270

Mailing address

One Choctaw Way
Talihina, OK 74571
Phone (800) 349-7026

Other identifiers 4

IdentifierTypeStateIssuer
19-8533OtherOKOK STATE BOARD OF PHARMACY
100244980QMedicaidOK
100244980BMedicaidOK
3721479OtherNCPDP

Other names 1

  • Choctaw Nation Rubin White Poteau Clinic Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OK2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20250203002996 TX Part B Supplier - Mass Immunization (Roster Biller Only) 1759294838 8 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Talihina, OK; Stigler, OK; Poteau, OK; McAlester, OK; Idabel, OK; Durant, OK; Broken Bow, OK; Atoka, OK…
O20250619001425 OK DME Supplier - Indian Health Service Or Tribal FacilityDME Supplier - Pharmacy 1759294838 Practice locations: Poteau, OK

Other NPIs with the same Medicare PAC ID 9

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 8

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

National Provider Directory

National Provider Directory
Tax ID family
Choctaw Nation Health Services16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

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

View all 15

Locations

109 Kerr Ave
Poteau, OK 74953
Phone (918) 647-1199

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Choctaw Nation of OklahomaStigler, OK, CCN 370172 Hospital Operational/Managerial Control Jul 1, 2001
Choctaw Nation Nursing HomeAntlers, OK, CCN 375372 Skilled nursing facility Adp of the SNF Feb 1, 2022

Owned or controlled facilities with NPI records 12

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754611200000",
    "number": "1851448526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE CHOCTAW WAY",
            "city": "TALIHINA",
            "state": "OK",
            "postal_code": "74571",
            "telephone_number": "800-349-7026",
            "fax_number": "918-567-7180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 KERR AVE",
            "city": "POTEAU",
            "state": "OK",
            "postal_code": "749535270",
            "telephone_number": "008-349-7026",
            "fax_number": "918-567-7180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOCTAW NATION OF OKLAHOMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A",
        "authorized_official_last_name": "HALLMARK",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EXECUTIVE OFFICER - DEPT OF HEALTH",
        "authorized_official_telephone_number": "918-567-7115"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332800000X",
            "taxonomy_group": "",
            "desc": "Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OK STATE BOARD OF PHARMACY",
            "identifier": "19-8533",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100244980Q",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100244980B",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3721479",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Choctaw Nation Rubin White Poteau Clinic Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Poteau, OK

Sources for this page

Verify at the official NPI Registry.