United Keetoowah Band Community Health Initiative, LLC
United Keetoowah Band Community Health Initiative, LLC is a Point of Service in Tahlequah, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2012.
- Licensed in
- OK
- In the registry since
- 2012
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2450 S Muskogee AveTahlequah, OK 74464-5450
Phone: (918) 431-1818
Fax: (918) 431-1873
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Point of Service (primary) | Taxonomy 305S00000X · Licence OK4140 (OK) |
|---|
Record details
| NPI number | 1962752659 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Bryan Shade — Executive Director · (918) 431-1818 |
| NPI enumerated | September 11, 2012 |
| Last updated in NPPES | September 11, 2012 |
| Mailing address | 2450 S Muskogee Ave, Tahlequah, OK 74464-5450 |