Sapulpa Indian Health Center

LBN: Creek Nation Hospital & Clinics
Sapulpa Indian Health Center is an health care organization with primary practice located at 1125 E Cleveland Ave , Sapulpa OK 74066-4641. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy is the primary health care specialty. Creek Nation Hospital & Clinics can be contacted via phone (918) 224-9310, or through Terry, Shawn via phone (918) 756-9909.

Contact Information

Primary practice address
1125 E Cleveland Ave Sapulpa OK 74066-4641
Phone: (918) 224-9310
Fax: (918) 756-2464
Website:
Map and Directions
Authorized official contact:
Name: Terry, Shawn PHARMD
Phone: (918) 756-9909

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X 11-4109 Oklahoma
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1457460321
LBN Legal business name Creek Nation Hospital & Clinics
DBA Doing business as Sapulpa Indian Health Center
Authorized official Terry, Shawn PHARMD
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 30th, 2006
Last updated Dec 7th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457460321 NPPES
Oklahoma MEDICAID 100709130C
Oklahoma Other 2075853

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