Creek Nation Hospital & Clinics

Organization Active NPI Ambulatory Surgical Clinic/Center · Tulsa, OK

NPI 1891483046 · NPPES record last updated Apr 26, 2023

Key facts

NPI
1891483046
Entity type
Organization (NPI type 2)
Primary specialty
Ambulatory Surgical Clinic/Center 261QA1903X
Legal business name
CREEK NATION HOSPITAL & CLINICS
Practice address
10109 E 79TH St
Tulsa, OK 74133-4564
Phone
(918) 233-9550
NPI assigned
Apr 26, 2023
Organization subpart
Yes
Parent organization (as reported)
CREEK NATION HOSPITAL & CLINICS

Authorized official

Name
Shawn Terry
Title
Secretary of Health
Phone
(918) 233-9550

Owned or controlled facilities with NPI records 1

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

Other NPIs with the same Medicare PAC ID 16

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

Corporate family (same tax ID) 22

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

Practitioners 364

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 364

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TX

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Creek Nation Community Hospital
Okemah, OK · CCN 37Z333
Hospital Operational/Managerial Control Nov 1, 2007

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20230920003846 TX Part B Supplier - Ambulatory Surgical Center 5698786226 Practice locations: Tulsa, OK

National Provider Directory

Tax ID family
Creek Nation Hospital and Clinics (84 organizations share this tax ID)
Part of
Creek Nation Hospital and Clinics

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Yes

Addresses

Primary practice location

10109 E 79TH St
Tulsa, OK 74133-4564

Mailing address

Dept 1038
Tulsa, OK 74182-0001
Phone (918) 233-9550

Other names

  • Council Oak Comprehensive Health Care Doing business as

Other providers in Tulsa, OK

All providers in Tulsa, OK · Ambulatory Surgical Clinic/Center in Oklahoma

Sources for this page

Verify at the official NPI Registry.