NPIMap

Organization Active NPI

Chickasaw Nation

  • Clinic/Center
  • Purcell, OK
National Provider Identifier
1922397140
Registry record updated Mar 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
CHICKASAW NATION
Practice address
1603 S Green Ave
Box 1620
Purcell, OK 73080-6210
Phone
(405) 527-4973
Fax
(405) 527-8058
NPI assigned
Mar 29, 2011
Last updated
Mar 29, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2011

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

Authorized official

Name
Mr. Terry L. Smith
Title
Director
Phone
(405) 767-8942

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1603 S Green Ave
Box 1620
Purcell, OK 73080-6210

Mailing address

1603 S Green Ave
Box 1620
Purcell, OK 73080-6210
Phone (405) 527-4973

National Provider Directory

National Provider Directory
Tax ID family
Chokka Kilimpi Family Resource Center7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

1603 S Green Ave
#1620
Purcell, OK 73080
Phone (405) 527-4973

NPI Registry JSON

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

{
    "created_epoch": "1301356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301356800000",
    "number": "1922397140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1603 S GREEN AVE",
            "address_2": "BOX 1620",
            "city": "PURCELL",
            "state": "OK",
            "postal_code": "730806210",
            "telephone_number": "405-527-4973",
            "fax_number": "405-527-8058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1603 S GREEN AVE",
            "address_2": "BOX 1620",
            "city": "PURCELL",
            "state": "OK",
            "postal_code": "730806210",
            "telephone_number": "405-527-4973",
            "fax_number": "405-527-8058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICKASAW NATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-29",
        "last_updated": "2011-03-29",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "405-767-8942",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Purcell, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.