INDIAN TERRITORY HEALTH SERVICES
Custodial Care Facility
Active
Organization
NPI: 1578771879
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Custodial Care Facility | 311Z00000X | Yes | DC3501-3501 (OK) |
Frequently Asked Questions
NPI 1578771879 is the National Provider Identifier for INDIAN TERRITORY HEALTH SERVICES, a Custodial Care Facility provider located in Tishomingo, OK. This NPI was enumerated on May 18, 2007.
Quick Facts
- NPI
- 1578771879
- Type
- Organization
- Enumerated
- May 18, 2007
- Last Updated
- Aug 22, 2020
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KIMBERLY CRIPPS, RN
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DEBRA BEVILL
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DR. JASON GRAY, PHARM D.
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MICHAEL REYES, PA C
Physician Assistant - Medical