Provider Demographics
NPI:1386006153
Name:CREEK NATION HOSPITAL & CLINICS
Entity Type:Organization
Organization Name:CREEK NATION HOSPITAL & CLINICS
Other - Org Name:MUSCOGEE (CREEK) NATION HOME HEALTH - NON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SECRETARY OF HEALTH
Authorized Official - Prefix:
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:VARK
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:918-756-4333
Mailing Address - Street 1:MCN HOME HEALTH
Mailing Address - Street 2:DEPT # 1752
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74182-0001
Mailing Address - Country:US
Mailing Address - Phone:918-758-0086
Mailing Address - Fax:918-758-3025
Practice Address - Street 1:1201 S BELMONT AVE STE 210
Practice Address - Street 2:
Practice Address - City:OKMULGEE
Practice Address - State:OK
Practice Address - Zip Code:74447-6351
Practice Address - Country:US
Practice Address - Phone:918-758-0086
Practice Address - Fax:918-758-3025
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-22
Last Update Date:2016-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health