United Keetoowah Band Community Health Initiative, LLC
NPI 1962752659 · Point of Service · Tahlequah, OK
United Keetoowah Band Community Health Initiative, LLC is a Point of Service organization in Tahlequah, OK (NPI 1962752659).
Provider details
- NPI number
- 1962752659
- Entity type
- Organization
- Primary specialty
- Point of ServiceManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Bryan Shade, Executive Director(918) 431-1818
- License
- OK4140 (OK)
Specialties & taxonomies
Managed Care Organizations
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
Mailing address
Registry dates
- Enumerated
- 2012-09-11
- Last updated
- 2012-09-11
Frequently asked questions
- What is United Keetoowah Band Community Health Initiative, LLC's NPI number?
- United Keetoowah Band Community Health Initiative, LLC's National Provider Identifier (NPI) is 1962752659, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is United Keetoowah Band Community Health Initiative, LLC?
- United Keetoowah Band Community Health Initiative, LLC is classified in the NPPES registry as Point of Service (Managed Care Organizations).
- Where is United Keetoowah Band Community Health Initiative, LLC located?
- United Keetoowah Band Community Health Initiative, LLC's practice location on file with NPPES is 2450 S Muskogee Ave, Tahlequah, OK 74464-5450.
- What is United Keetoowah Band Community Health Initiative, LLC's phone number?
- The practice phone number listed in the NPPES registry for United Keetoowah Band Community Health Initiative, LLC is (918) 431-1818.
- Who is the authorized official for United Keetoowah Band Community Health Initiative, LLC?
- The authorized official listed on United Keetoowah Band Community Health Initiative, LLC's NPPES record is Bryan Shade, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is United Keetoowah Band Community Health Initiative, LLC's NPI active?
- Yes — United Keetoowah Band Community Health Initiative, LLC's NPI (1962752659) is active in the NPPES registry as of the last update on 2012-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.