Ponca Tribal Health Authority

LBN: White Eagle Health Center
Ponca Tribal Health Authority is an health care organization with primary practice located at 200 White Eagle Drive , Ponca City OK 74601. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. White Eagle Health Center can be contacted via phone (580) 765-2501, or through Arkeketa, Bennett via phone (580) 765-2501.

Contact Information

Primary practice address
200 White Eagle Drive Ponca City OK 74601
Phone: (580) 765-2501
Fax: (580) 765-6348
Website:
Map and Directions
Authorized official contact:
Name: Arkeketa, Bennett
Phone: (580) 765-2501

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1699875724
LBN Legal business name White Eagle Health Center
DBA Doing business as Ponca Tribal Health Authority
Authorized official Arkeketa, Bennett
Entity Organization
Organization subpart 1 No
Enumeration date Sep 25th, 2006
Last updated May 18th, 2016 - about 10 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 1699875724 NPPES
Oklahoma MEDICAID 100700590D

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