CHOCTAW NATION HEALTH CLINIC-BROKEN BOW
NPI 1770559619
Clinic/Center - Primary Care in Broken Bow, OK
NPI Status: Active since February 28, 2006
Contact Information
205 E 3RD ST
BROKEN BOW, OK
ZIP 74728
Phone: (918) 567-7000
Fax: (918) 567-7041
- Organization
- Clinic/Center
- Primary Care
- Accepts Insurance
- CLIA Number: 37D0710913
- CLIA Cert. Type: Rural Health Clinic
- CLIA Exp. Date: 03-29-2026
About CHOCTAW NATION HEALTH CLINIC-BROKEN BOW
This page provides the complete NPI Profile along with additional information for Choctaw Nation Health Clinic-broken Bow, a primary care provider established in Broken Bow, Oklahoma operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1770559619 assigned on February 2006. The practitioner's primary taxonomy code is 261QP2300X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Choctaw Nation Health Clinic-broken Bow. The authorized official of this NPI record is Mrs. Teresa Kay Jackson (Administrator)
- NPI
- 1770559619
- Provider Legal Name
- CHOCTAW NATION OF OKLAHOMA
- Other Organization Name
- CHOCTAW NATION HEALTH CLINIC-BROKEN BOW
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 205 E 3RD ST BROKEN BOW, OK 74728
- Location Phone
- (918) 567-7000
- Location Fax
- (918) 567-7041
- Mailing Address
- 1 CHOCTAW WAY TALIHINA, OK 74571
- Mailing Phone
- (918) 567-7000
- Mailing Fax
- (918) 567-7041
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-28-2006
- Last Update Date
- 01-17-2024
- Code Navigator
A primary care provider (PCP) like Choctaw Nation Health Clinic-broken Bow sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Primary Care
- Taxonomy Code
- 261QP2300X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QP0904X | Ambulatory Health Care Facilities | Clinic/Center |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Advantage Bronze PPO? 202 - PPO
- Blue Advantage Bronze PPO? 203 - PPO
- Blue Advantage Bronze PPO? Standard - PPO
- Blue Advantage Gold PPO? 309 - PPO
- Blue Advantage Gold PPO? 604 - PPO
- Blue Advantage Gold PPO? Standard - PPO
- Blue Advantage Silver PPO? 204 - PPO
- Blue Advantage Silver PPO? 501 - PPO
- Blue Advantage Silver PPO? Standard - PPO
- Blue Preferred Bronze PPO? Standard - PPO
- Blue Preferred Gold PPO? Standard - PPO
- Blue Preferred Security PPO? 200 - PPO
- Blue Preferred Silver PPO? Standard - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100699600I | MEDICAID (05) | OK |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 37D0710913
- Facility Type
- Rural Health Clinic
- Certificate Effective Date
- March 30, 2024
- Certificate Expiration Date
- March 29, 2026
- Laboratory Director
- DR. JOHN HOSKINS
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Choctaw Nation Health Clinic-broken Bow on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 7 | 0 | 5 | 5 | 9 | 6 | 1 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 14 | 0 | 10 | 5 | 18 | 6 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 4 + 0 + 1 + 0 + 5 + 1 + 8 + 6 + 2 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1770559619 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1770559619, enumerated in the NPI registry as an "organization" on February 28, 2006
The provider is located at 205 E 3rd St Broken Bow, Ok 74728 and the phone number is (918) 567-7000
This medical organization specializes in Clinic/Center with taxonomy code 261QP2300X with a focus in Primary Care
The provider might be accepting Accepts: Blue Cross and Blue Shield of Oklahoma, Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 37D0710913 for a "rural health clinic" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing..
This NPI record was last updated on February 28, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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