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ABSENTEE SHAWNEE TRIBAL HEALTH AUTHORITY

Medical Equipment Supplier Yellow Pages

Shawnee, Oklahoma

Provider NPI: 1831294024

Organization Information:
Organization Name:  ABSENTEE SHAWNEE TRIBAL HEALTH AUTHORITY


Practice Location:
2029 GORDON COOPER DR  SHAWNEE, OK 74801 US
Tel: 405-878-5850  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N332800000XSuppliers
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Y332800000XSuppliers
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
OK10-4263

Other Provider Identifiers:

IssuerNumberStateType
100699860JOK05
100699860FOK05
100699860KOK05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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