Active NPI
Cherokee Nation Comprehensive Care Agency
Doing business as Cherokee Elder Care
- PACE Provider Organization
- Tahlequah, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- PACE Provider Organization
- License
- H4142
- Legal business name
- CHEROKEE NATION COMPREHENSIVE CARE AGENCY
- Doing business as
- Cherokee Elder Care
- Practice address
- 1387 W Fourth St
Tahlequah, OK 74464 - Phone
- (918) 431-4111
- Fax
- (918) 431-4112
- NPI assigned
- Dec 6, 2007
- Last updated
- Mar 6, 2013
- Organization subpart
- Yes
- Parent organization
- CHEROKEE NATION
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sharon K. Hilton
- Title
- Program Director
- Phone
- (918) 453-5599
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| PACE Provider Organization | 251T00000X | H4142 | OK | Primary |
Addresses
Primary practice location
1387 W Fourth St
Tahlequah, OK 74464
Mailing address
PO Box 948
Tahlequah, OK 74465-0948
Phone (918) 431-4111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| H4142 | Other | OK | CMS |
Other names 1
- Cherokee Elder Care
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 37D1077363 | Cherokee Elder Care | Certificate of waiver | Dec 6, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Talking Leaves Job Corps
- Part of
- Talking Leaves Job Corps
Other organizations with this tax ID 20
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Cherokee Nation Public Health
- Public Health or Welfare Agency
- Tahlequah, OK
- NPI 1013884154
-
dba W.W. Hastings Indian Hospital Urgent Care Pharmacy
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Tahlequah, OK
- NPI 1346623584
-
- Adult Mental Health Clinic/Center
- Tahlequah, OK
- NPI 1356787444
-
dba Sam Hider Health Center RX
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Jay, OK
- NPI 1417090820
-
- Multi-Specialty Clinic/Center
- Claremore, OK
- NPI 1497568968
-
dba Wilma P Mankiller Health Center RX
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Stilwell, OK
- NPI 1497791859
-
dba Three Rivers Health Center RX
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Muskogee, OK
- NPI 1497791982
-
- Ambulatory Surgical Clinic/Center
- Claremore, OK
- NPI 1568275048
-
dba Cooweescoowee Health Clinic Pharmacy
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Ochelata, OK
- NPI 1629476221
-
dba Will Rogers Health Center RX
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Nowata, OK
- NPI 1649216441
-
- Ambulatory Surgical Clinic/Center
- Tahlequah, OK
- NPI 1669628707
Locations
1387 W 4th St
Tahlequah, OK 74464
Phone (918) 431-4111
Practitioners & affiliated clinicians
Practitioners 5
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.
-
- Internal Medicine Physician
- Fort Gibson, OK
- NPI 1831461938
-
- Family Nurse Practitioner
- Tahlequah, OK
- NPI 1104175736
-
- Case Manager/Care Coordinator
- Tahlequah, OK
- NPI 1437551843
-
- Nurse Practitioner
- Tahlequah, OK
- NPI 1083842520
-
- Family Nurse Practitioner
- Sallisaw, OK
- NPI 1659373223
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196899200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1362528000000",
"number": "1952584518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 948",
"city": "TAHLEQUAH",
"state": "OK",
"postal_code": "744650948",
"telephone_number": "918-431-4111",
"fax_number": "918-431-4112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1387 W FOURTH ST",
"city": "TAHLEQUAH",
"state": "OK",
"postal_code": "74464",
"telephone_number": "918-431-4111",
"fax_number": "918-431-4112"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHEROKEE NATION COMPREHENSIVE CARE AGENCY",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CHEROKEE NATION",
"enumeration_date": "2007-12-06",
"last_updated": "2013-03-06",
"status": "A",
"authorized_official_last_name": "HILTON",
"authorized_official_first_name": "SHARON",
"authorized_official_middle_name": "K.",
"authorized_official_title_or_position": "PROGRAM DIRECTOR",
"authorized_official_telephone_number": "918-453-5599"
},
"taxonomies": [
{
"code": "251T00000X",
"taxonomy_group": "",
"desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
"state": "OK",
"license": "H4142",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CMS",
"identifier": "H4142",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Cherokee Elder Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tahlequah, OK
- Cherokee Nation (W.W. Hastings Indian Hospital Urgent Care Pharmacy)
- Cherokee Nation
- Cherokee Nation (Cherokee Nation EMS)
- Cherokee Nation
- Cherokee Nation (Hastings EMS)
- Cherokee Nation Home Health Outreach
- Cherokee Nation Home Health Services, Inc.
- Cherokee Nation Home Health Services, Inc. (Hospice of the Cherokee)
- Cherokee Nation Outpatient Health Center Pharmacy (W.W. Hastings Indian Hospital)
- Cherokee Wound Care
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.