OrganizationActive
Choctaw Nation of Oklahoma
NPI 1770559619 · Primary Care Clinic/Center · Broken Bow, OK
Provider details
- NPI number
- 1770559619
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Teresa Jackson, Administrator(918) 567-7000
Specialties & taxonomies
Ambulatory Health Care Facilities
- Federal Public Health Clinic/Center261QP0904X
Ambulatory Health Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
205 E 3rd St
Broken Bow, OK 74728-4119
Phone: (918) 567-7000
Fax: (918) 567-7041
Street-level locationGet directions
Mailing address
1 Choctaw Way
Talihina, OK 74571-2022
Other names (DBA / former)
- Doing business as
- Choctaw Nation Health Clinic-Broken Bow
Registry dates
- Enumerated
- 2006-02-28
- Last updated
- 2024-01-17
- Certified
- 2024-01-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.