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Modoc Tribe of Oklahoma — NPI 1265083380, Wyandotte, OK | NPI Central

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NPI 1265083380

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Modoc Tribe of Oklahoma

NPI 1265083380 · Multi-Specialty Clinic/Center · Wyandotte, OK

Provider details

NPI number: 1265083380
Entity type: Organization
Primary specialty: Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
Organization subpart: No
Authorized official: Laci Barton, Director of Operations(918) 303-5433

Specialties & taxonomies

Multi-Specialty Clinic/CenterPrimary261QM1300X
Ambulatory Health Care Facilities
Adult Mental Health Clinic/Center261QM0850X
Ambulatory Health Care Facilities
Addiction (Substance Use Disorder) Counselor101YA0400X
Behavioral Health & Social Service Providers

Practice location

10025 S 705 Rd

Wyandotte, OK 74370-9507

Phone: (918) 303-5433

Approximate (ZIP-level) locationGet directions

More OK providers

Mailing address

22 N Eight Tribes Trl

Miami, OK 74354-1011

Other names (DBA / former)

Doing business as: Lost River Treatment Center
Doing business as: Lost River Treatment Center

Additional practice locations (1)

21 N Eight Tribes Trl Ste B
Miami, OK 74354-1010
Phone: (918) 303-5433

Registry dates

Enumerated: 2019-09-20
Last updated: 2026-04-14
Certified: 2026-04-14

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.