Organization · Type 2 NPI

Citizen Potawatomi Nation

Federally Qualified Health Center (FQHC) · Shawnee, OK

NPI number 1194752949 Active

Practice location

2307 S Gordon Cooper Dr
Shawnee, OK 74801-9007

Fax (405) 878-4835

Specialties and licenses

TaxonomyCodeLicense
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

Federally Qualified Health Center (FQHC): Definition to come...

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About NPI 1194752949

Citizen Potawatomi Nation's National Provider Identifier is 1194752949, issued on Jun 27, 2006. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Shawnee, OK. The record was last updated on Feb 28, 2025.