CHICKASAW NATION
NPI 1114266152
Substance Abuse Rehabilitation Facility in Pauls Valley, OK

Active since February 12, 2013CLIA Certified · 4 labs
101 ARROWHEAD DR, PAULS VALLEY, OK 73075(405) 331-2300(405) 331-2302 Get Directions Write a Review

NPPES record last updated: February 12, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Chickasaw Nation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHICKASAW NATION (NPI 1114266152) is a healthcare organization registered as a substance abuse rehabilitation facility in Pauls Valley, Oklahoma and active in the NPI registry since February 2013. The organization holds 4 active CLIA laboratory certificates and lists Todd Crawford, Director Community Based Services-, as its authorized official.

NPPES Registry Identity

NPI1114266152
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameCHICKASAW NATION
Location Address101 ARROWHEAD DRPauls Valley, OK 73075-5301
Mailing Address1400 Hoppe Blvd Ste 2Ada, OK 74820-2313 · (580) 559-0810 · Fax (580) 272-5734
Fax(405) 331-2302
Organization SubpartNo
Authorized OfficialTodd CrawfordDirector Community Based Services- · (580) 559-0810
Enumeration DateFebruary 12, 2013
NPI 1114266152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
License Licensed in OK · 171M00000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
101 ARROWHEAD DR, Pauls Valley, OK 73075

CLIA Laboratory Certificates CMS CLIA 4

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 37D0993976

Chickasaw Nation Medical Center Pharmacy · Ada, OK
Active · expires Nov 29, 2027
CLIA Number37D0993976
Laboratory TypePharmacy
Certificate Effective DateNovember 30, 2025
Certificate Expiration DateNovember 29, 2027
Laboratory DirectorHaley N. Barrett
Laboratory Phone(580) 421-2994
Laboratory LocationChickasaw Nation Medical Center Pharmacy1904 Carl Albert Blvd, Ste A, Ada, OK 74820
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 37D2162148

Chickasaw Nation Sick Child Care · Ada, OK
Active · expires Feb 18, 2027
CLIA Number37D2162148
Laboratory TypeSchool/Student Health Service
Certificate Effective DateFebruary 19, 2025
Certificate Expiration DateFebruary 18, 2027
Laboratory DirectorTangra Broge
Laboratory Phone(580) 559-0752
Laboratory LocationChickasaw Nation Sick Child Care224 Rosedale Road, Ada, OK 74820
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Accreditation 37D0475831

Chickasaw Nation Medical Center Laboratory Services · Ada, OK
Active · expires Feb 8, 2027
CLIA Number37D0475831
Laboratory TypeHospital
Certificate Effective DateFebruary 9, 2025
Certificate Expiration DateFebruary 8, 2027
Laboratory DirectorDr. John W. Mooring
Laboratory Phone(580) 421-4580
Laboratory LocationChickasaw Nation Medical Center Laboratory Services1921 Stonecipher Boulevard, Ada, OK 74820
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 37D0856675

Chickasaw Nation Medical Center Wic Nutrition Program · Ada, OK
Active · expires Aug 31, 2026
CLIA Number37D0856675
Laboratory TypeOther
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorMelinda R. Newport
Laboratory Phone(580) 421-4581
Laboratory LocationChickasaw Nation Medical Center Wic Nutrition Program1001 Country Club Road Attn Debbie Tipton Wic Program, Ada, OK 74820
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker
101 ARROWHEAD DR
PAULS VALLEY, OK 73075
Case Manager/Care Coordinator
101 ARROWHEAD DR
PAULS VALLEY, OK 73075
Case Manager/Care Coordinator
101 ARROWHEAD DR
PAULS VALLEY, OK 73075
Case Manager/Care Coordinator
101 ARROWHEAD DR
PAULS VALLEY, OK 73075
Substance Abuse Rehabilitation Facility
101 ARROWHEAD DR
PAULS VALLEY, OK 73075

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chickasaw Nation's NPI number?

The NPI number for Chickasaw Nation is 1114266152. It was assigned to this organization in the NPPES registry on February 12, 2013.

Where is Chickasaw Nation located?

Chickasaw Nation is located at 101 Arrowhead Dr, Pauls Valley, OK 73075. The listed phone number is (405) 331-2300.

What is Chickasaw Nation's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does Chickasaw Nation hold CLIA laboratory certificates?

Yes. 4 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Chickasaw Nation was last updated on February 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.