NPIMap

Organization Active NPI

Chickasaw Nation Division of Health

Doing business as Chickasaw Nation Medical Center

  • Ambulatory Surgical Clinic/Center
  • Ada, OK
National Provider Identifier
1982863791
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
CHICKASAW NATION DIVISION OF HEALTH
Doing business as
Chickasaw Nation Medical Center
Practice address
1921 Stonecipher Blvd
Ada, OK 74820-3439
Phone
(588) 421-4570
NPI assigned
Jun 6, 2008
Last updated
Jul 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Authorized official

Name
Denise Carpenter
Title
Contract Management Coordinator
Phone
(580) 421-4570

Specialties & licenses 1

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

Addresses

Primary practice location

1921 Stonecipher Blvd
Ada, OK 74820-3439

Mailing address

1921 Stonecipher Blvd
Ada, OK 74820-3439
Phone (588) 421-4570

Other names 1

  • Chickasaw Nation Medical Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071130000094 TX Part B Supplier - Ambulatory Surgical Center 8426957523 2 other NPIs on this enrollment
Practice locations: Ada, OK

Other NPIs with the same Medicare PAC ID 4

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

Other NPIs on the same Medicare enrollment 2

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

National Provider Directory

National Provider Directory
Tax ID family
CNHS Finance13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

Locations

1925 Warrior Way
Ada, OK 74820

Ownership & related parties

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Chickasaw Nation Medical CenterAda, OK, CCN 370180 Hospital Operational/Managerial Control Oct 1, 1994
Minticha ApilaAda, OK, CCN 377876 Home health agency Operational/Managerial Control (100%) Oct 1, 1994

Owned or controlled facilities with NPI records 6

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

NPI Registry JSON

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

{
    "created_epoch": "1212710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752105600000",
    "number": "1982863791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 STONECIPHER BLVD",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748203439",
            "telephone_number": "588-421-4570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 STONECIPHER BLVD",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748203439",
            "telephone_number": "588-421-4570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICKASAW NATION DIVISION OF HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-06",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A",
        "authorized_official_last_name": "CARPENTER",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "CONTRACT MANAGEMENT COORDINATOR",
        "authorized_official_telephone_number": "580-421-4570"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chickasaw Nation Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Chickasaw Nation Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ada, OK

Sources for this page

Verify at the official NPI Registry.