Organization Active NPI

Anadarko Indian Health Center

  • Federal Public Health Clinic/Center
  • Anadarko, OK
National Provider Identifier
1881637403
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federal Public Health Clinic/CenterTaxonomy code 261QP0904X
Legal business name
ANADARKO INDIAN HEALTH CENTER
Practice address
201 E Parker McKenzie Drive
Anadarko, OK 73005-5009
Phone
(405) 247-7900
Fax
(405) 247-4945
NPI assigned
Jun 13, 2006
Last updated
Mar 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

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

Authorized official

Name
Brian R Wren
Title
Ceo
Phone
(580) 354-5407

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federal Public Health Clinic/Center 261QP0904X Primary

Addresses

Primary practice location

201 E Parker McKenzie Drive
Anadarko, OK 73005-5009

Mailing address

1515 NE Lawrie Tatum Rd
Lawton, OK 73507
Phone (580) 354-5150

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050304000365 TX Part B Supplier - Clinic/Group Practice 7719931559 Receives reassigned benefits from 176 practitioners
Practice locations: Anadarko, OK
O20070712000757 OK Part A Provider - Hospital 6406800234 5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Wewoka, OK; Watonga, OK; Pawnee, OK; Lawton, OK; Clinton, OK; El Reno, OK; Anadarko, OK; Carnegie, OK

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1881637403. Details of each certification follow.

Hospital certification: CCN 370170

Legal name
LAWTON INDIAN HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Mar 9, 1977
Last certification
May 28, 2025
Beds
26
Ownership / control type
Tribal
Organization structure
OtherNon-profit
Enrollment address
1515 NE Lawrie Tatum Rd
Lawton, OK 73507-3002
Other Hospital Practice Location
Hospital subgroups
General, Other

Other NPIs on the same Medicare enrollment 5

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Lawton Indian HospitalCCN 370170 · All quality measures
Type
Acute Care Hospitals
Ownership
Tribal
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

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
37D0668143Anadarko Indian Health Center201 East Parker McKenzie Drive, Anadarko, OK 73005AccreditationApr 29, 2028
37D2047117Anadarko Indian Health Center201 E Parker McKenzie Dr, Anadarko, OK 73005Certificate of waiverJul 28, 2028
37D2301997Anadarko Indian Health Center Pharmacy201 E Parker McKenzie Dr, Anadarko, OK 73005Certificate of waiverApr 2, 2028

National Provider Directory

National Provider Directory
Tax ID family
Lawton IHS Pharmacy9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Locations

115 NE Old Town Rd
#N
Anadarko, OK 73005
Phone (405) 247-2458

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Greggory J Woitte Individual Corporate OfficerChief Medical Officer Feb 1, 2025
W-2 Managing EmployeeMD; Feb 1, 2025
Brian Wren Individual Corporate OfficerCeo Aug 14, 2023
W-2 Managing EmployeeCeo Aug 14, 2023
Travis E Watts Individual Corporate DirectorArea Office Director Jul 1, 2019
W-2 Managing EmployeeDirector Aug 12, 2018

Practitioners & affiliated clinicians

Practitioners 213

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 213

Affiliated clinicians 163

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 163

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741305600000",
    "number": "1881637403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 NE LAWRIE TATUM RD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "73507",
            "telephone_number": "580-354-5150",
            "fax_number": "580-354-5148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E PARKER MCKENZIE DRIVE",
            "city": "ANADARKO",
            "state": "OK",
            "postal_code": "730055009",
            "telephone_number": "405-247-7900",
            "fax_number": "405-247-4945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANADARKO INDIAN HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A",
        "authorized_official_last_name": "WREN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "580-354-5407"
    },
    "taxonomies": [
        {
            "code": "261QP0904X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, Federal",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anadarko, OK

Sources for this page

Verify at the official NPI Registry.