Absentee Shawnee Tribal Health Authority, Inc. in Shawnee - Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy
Absentee Shawnee Tribal Health Authority, Inc. - NPI 1831294024
Absentee Shawnee Tribal Health Authority, Inc. is a Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy in Shawnee, Oklahoma. Absentee Shawnee Tribal Health Authority, Inc. practices all healthcare services and medical treatments related to Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy. The NPI Number for Absentee Shawnee Tribal Health Authority, Inc. is 1831294024. The last update date is 2022-06-30.
Absentee Shawnee Tribal Health Authority, Inc.'s current location address is 2029 Gordon Cooper Dr, Shawnee, Oklahoma. You can contact this provider via phone number 4058785859 and fax number 4056693099. The mailing address for Absentee Shawnee Tribal Health Authority, Inc. is 2029 Gordon Cooper Dr, Shawnee, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Absentee Shawnee Tribal Health Authority, Inc. |
|---|---|
| Address | 2029 Gordon Cooper Dr, Shawnee, Oklahoma |
| Phone Number | 4058785859 |
| Fax Number | 4056693099 |
| 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 | 1831294024 |
|---|---|
| Provider Enumeration Date | 2006-09-13 |
| Last Updated Date | 2022-06-30 |
Provider Mailing Address Detail
| Address | 2029 Gordon Cooper Dr |
|---|---|
| City | Shawnee |
| State | Oklahoma (OK) |
| Post Code | 748019005 |
| Phone Number | 4058785859 |
| Fax Number | 4056693099 |
Provider's Primary Taxonomy Detail
| Speciality | Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy |
|---|---|
| Taxonomy | 332800000X |
| Licence No | 4263-10-01 0 |
|
Definition: An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100699860F | OK | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Absentee Shawnee Tribal Health Authority, Inc. by the Centers for Medicare & Medicaid Services?
The Absentee Shawnee Tribal Health Authority, Inc. has been issued the NPI (National Provider Identifier) 1831294024. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
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 Gordon Cooper Dr, Shawnee, OK, 748019005.
What is Absentee Shawnee Tribal Health Authority, Inc.'s area of expertise and its corresponding taxonomy classification?
The Absentee Shawnee Tribal Health Authority, Inc.'s field of specialization is Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy, and it falls under the taxonomy code 332800000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1831294024 to Absentee Shawnee Tribal Health Authority, Inc.?
The Absentee Shawnee Tribal Health Authority, Inc. received its 1831294024 assignment from the Centers for Medicare & Medicaid Services on 2006-09-13.
When was the information regarding Absentee Shawnee Tribal Health Authority, Inc. most recently updated?
The details pertaining to the Absentee Shawnee Tribal Health Authority, Inc., including its address, specialty, and other relevant information, were last refreshed on 2022-06-30.