OrganizationActive
Chickasaw Nation Division of Health
NPI 1649330242 · Primary Care Clinic/Center · Tishomingo, OK
Provider details
- NPI number
- 1649330242
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Denise Carpenter, Contract Management Coordinator(580) 421-4570
Specialties & taxonomies
Ambulatory Health Care Facilities
- Clinic/Center261Q00000X
Ambulatory Health Care Facilities
- Federal Public Health Clinic/Center261QP0904X
Ambulatory Health Care Facilities
Practice location
817 E 6th St
Tishomingo, OK 73460-1800
Phone: (580) 371-2392
Approximate (ZIP-level) locationGet directions
Mailing address
1925 Warrior Way
Ada, OK 74820
Other names (DBA / former)
- Doing business as
- Chickasaw Nation Tishomingo Clinic
Registry dates
- Enumerated
- 2006-12-12
- Last updated
- 2025-07-10
- Certified
- 2025-07-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.