NPIMap

Organization Active NPI

Choctaw Nation of Oklahoma

Doing business as Choctaw Nation Health Clinic-Atoka

  • Primary Care Clinic/Center
  • Atoka, OK
National Provider Identifier
1902078728
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
CHOCTAW NATION OF OKLAHOMA
Doing business as
Choctaw Nation Health Clinic-Atoka
Practice address
1585 W Liberty Rd
Atoka, OK 74525-1702
Phone
(580) 889-1981
NPI assigned
Apr 1, 2008
Last updated
Aug 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Authorized official

Name
Mrs. Teresa Kay Jackson
Title
Administrator
Phone
(918) 567-7000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Federal Public Health Clinic/Center 261QP0904X NU
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

1585 W Liberty Rd
Atoka, OK 74525-1702

Mailing address

1 Choctaw Way
Talihina, OK 74571-2022
Phone (918) 567-7000

Other identifiers 1

IdentifierTypeStateIssuer
370172OtherOKMEDICARE

Other names 1

  • Choctaw Nation Health Clinic-Atoka Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031106000326 TX Part B Supplier - Clinic/Group Practice 1759294838 Receives reassigned benefits from 627 practitioners
10 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Talihina, OK; Broken Bow, OK; Stigler, OK; Poteau, OK; McAlester, OK; Hugo, OK; Durrant, OK; Atoka, OK…
O20110316000039 TX Part A Provider - Hospital 1759294838 10 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Durant, OK; Talihina, OK; Stigler, OK; Poteau, OK; McAlester, OK; Idabel, OK; Hugo, OK; Broken Bow, OK…

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1902078728. Details of each certification follow.

Hospital certification: CCN 370172

Legal name
CHOCTAW NATION OF OKLAHOMA
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Mar 9, 1977
Last certification
Oct 17, 2023
Beds
44
Ownership / control type
Tribal
Organization structure
OtherProprietary
Incorporated
Oct 1, 2013 in OK
Enrollment address
2204 E Main STR
Choctaw Nation Health Care
Stigler, OK 74462-2822
Other Hospital Practice Location
Hospital subgroups
Acute care

Other NPIs on the same Medicare enrollment 10

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Choctaw Nation Health Services AuthorityCCN 370172 · All quality measures
Type
Acute Care Hospitals
Ownership
Tribal
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Choctaw Nation of Oklahoma Organization, Talihina, OK Operational/Managerial Control Jul 1, 2001
Teresa Jackson Individual Corporate Officer Aug 16, 2007
W-2 Managing Employee Aug 16, 2007
Kelly D Mings Individual Corporate Officer Aug 16, 2007
W-2 Managing Employee Aug 16, 2007
Todd Hallmark Individual Corporate Officer Nov 1, 2013
W-2 Managing Employee Nov 1, 2013

Owners & managing parties with NPI records 10

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

  • Choctaw Nation of Oklahoma

    dba Choctaw Nation Health Clinic-McAlester

    • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
    • McAlester, OK
    • NPI 1124175518

    Operational/Managerial Control

    CMS ownership
  • Choctaw Nation of Oklahoma

    dba ChoctawNation Health System Durant Health Center Pharmacy

    • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
    • Durant, OK
    • NPI 1295142115

    Operational/Managerial Control

    CMS ownership
  • Choctaw Nation of Oklahoma

    dba Choctaw Nation Health Clinic - Broken Bow

    • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
    • Broken Bow, OK
    • NPI 1447143532

    Operational/Managerial Control

    CMS ownership
  • Choctaw Nation of Oklahoma

    dba Choctaw Nation Health Care Pharmacy

    • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
    • Talihina, OK
    • NPI 1538216205

    Operational/Managerial Control

    CMS ownership
  • Choctaw Nation of Oklahoma

    dba Choctaw Nation Health Clinic-Hugo

    • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
    • Hugo, OK
    • NPI 1568510451

    Operational/Managerial Control

    CMS ownership
  • Choctaw Nation of Oklahoma

    dba Choctaw Nation Health Clinic-Stigler Rx

    • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
    • Stigler, OK
    • NPI 1609924471

    Operational/Managerial Control

    CMS ownership
  • Choctaw Nation of Oklahoma

    dba Choctaw Nation Health Care

    • Rural Acute Care Hospital
    • Talihina, OK
    • NPI 1659347623

    Operational/Managerial Control

    CMS ownership
  • Choctaw Nation of Oklahoma

    dba Choctaw Nation Health Clinic-Idabel RX

    • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
    • Idabel, OK
    • NPI 1790833564

    Operational/Managerial Control

    CMS ownership
  • Choctaw Nation of Oklahoma

    dba Choctaw Nation Rubin White Poteau Clinic Pharmacy

    • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
    • Poteau, OK
    • NPI 1851448526

    Operational/Managerial Control

    CMS ownership
  • Choctaw Nation of Oklahoma

    dba Choctaw Nation Health Clinic Atoka

    • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
    • Atoka, OK
    • NPI 1972769701

    Operational/Managerial Control

    CMS ownership

Practitioners & affiliated clinicians

Practitioners 52

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 52

Affiliated clinicians 209

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

View all 209

NPI Registry JSON

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

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755734400000",
    "number": "1902078728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CHOCTAW WAY",
            "city": "TALIHINA",
            "state": "OK",
            "postal_code": "745712022",
            "telephone_number": "918-567-7000",
            "fax_number": "918-567-7041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1585 W LIBERTY RD",
            "city": "ATOKA",
            "state": "OK",
            "postal_code": "745251702",
            "telephone_number": "580-889-1981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOCTAW NATION OF OKLAHOMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-01",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "918-567-7000",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP0904X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, Federal",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "370172",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Choctaw Nation Health Clinic-Atoka",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Atoka, OK

Sources for this page

Verify at the official NPI Registry.