Absentee Shawnee Tribal Health Authority, Inc. in Shawnee - Multi-specialty
Absentee Shawnee Tribal Health Authority, Inc. - NPI 1942253521
Absentee Shawnee Tribal Health Authority, Inc. is a Multi-specialty in Shawnee, Oklahoma. Absentee Shawnee Tribal Health Authority, Inc. practices all healthcare services and medical treatments related to Multi-specialty. The NPI Number for Absentee Shawnee Tribal Health Authority, Inc. is 1942253521. The last update date is 2022-03-16.
Absentee Shawnee Tribal Health Authority, Inc.'s current location address is 2029 S Gordon Cooper Drive, Shawnee, Oklahoma. You can contact this provider via phone number 4058785850 and fax number 4052144227. The mailing address for Absentee Shawnee Tribal Health Authority, Inc. is 2029 S Gordon Cooper Drive, Shawnee, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Absentee Shawnee Tribal Health Authority, Inc. |
|---|---|
| Address | 2029 S Gordon Cooper Drive, Shawnee, Oklahoma |
| Phone Number | 4058785850 |
| Fax Number | 4052144227 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Rogers Mark |
| Credentials | MAL, FACHE |
| Telephone Number | 4054470300 |
NPI Number Detail
| NPI Number | 1942253521 |
|---|---|
| Provider Enumeration Date | 2006-05-18 |
| Last Updated Date | 2022-03-16 |
Provider Mailing Address Detail
| Address | 2029 S Gordon Cooper Drive |
|---|---|
| City | Shawnee |
| State | Oklahoma (OK) |
| Post Code | 74801 |
| Phone Number | 4058785850 |
| Fax Number | 4052144227 |
Provider's Primary Taxonomy Detail
| Speciality | Multi-specialty |
|---|---|
| Taxonomy | 261Qm1300X |
|
Definition: Provides integrated outpatient care across medical and surgical specialties with referrals under one roof. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100699860K | OK | -- | |
| 100699860J | OK | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Absentee Shawnee Tribal Health Authority, Inc. by the Centers for Medicare & Medicaid Services?
The Absentee Shawnee Tribal Health Authority, Inc. has been assigned the NPI (National Provider Identifier) 1942253521 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Absentee Shawnee Tribal Health Authority, Inc.'s facilities are geographically located?
The facilities of Absentee Shawnee Tribal Health Authority, Inc. are physically situated at the following location: 2029 S Gordon Cooper Drive, Shawnee, OK, 74801.
What is Absentee Shawnee Tribal Health Authority, Inc.'s specialized field of practice, and what is the corresponding taxonomy classification code?
The Absentee Shawnee Tribal Health Authority, Inc.'s area of specialization is Multi-specialty, and the corresponding taxonomy code that categorizes this field of practice is 261Qm1300X.
When was the Absentee Shawnee Tribal Health Authority, Inc.'s 1942253521 issued?
The Absentee Shawnee Tribal Health Authority, Inc.'s 1942253521 was issued on 2006-05-18.
When was the information related to Absentee Shawnee Tribal Health Authority, Inc. most recently updated or refreshed?
The details pertaining to the Absentee Shawnee Tribal Health Authority, Inc., including its address, specialty, and other relevant information, were last updated or refreshed on 2022-03-16.