SAPULPA INDIAN HEALTH CENTER
NPI 1457460321
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Sapulpa, OK

Q: What is Creek Nation Hospital & Clinics's NPI number?

The NPI number for Creek Nation Hospital & Clinics is 1457460321. It was assigned to this organization in the NPPES registry on August 30, 2006. The provider is doing business as Sapulpa Indian Health Center.

Q: What is Creek Nation Hospital & Clinics's specialty?

The primary specialty registered for this NPI is Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy with taxonomy code 332800000X.

Active since August 30, 2006

1125 E CLEVELAND AVE, SAPULPA, OK 74066(918) 224-9310(918) 756-2464 Get Directions Write a Review

NPPES record last updated: December 7, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 7, 2023, Feb 14, 2017, Jan 20, 2017 and 1 more (4 updates tracked since 2016).

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About Sapulpa Indian Health Center NPPES

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

SAPULPA INDIAN HEALTH CENTER (NPI 1457460321) is a healthcare organization registered as an indian health service/tribal/urban indian health (i/t/u) pharmacy in Sapulpa, Oklahoma and active in the NPI registry since August 2006. The organization lists Shawn Terry, Secretary Of Health, as its authorized official.

NPPES Registry Identity

NPI1457460321

Entity TypeOrganization

Primary Taxonomy332800000X

Legal Business NameCREEK NATION HOSPITAL & CLINICS

Location Address1125 E CLEVELAND AVESapulpa, OK 74066-4641

Mailing AddressMcn Pharmacy, Dept # 1249Tulsa, OK 74182-0001 · (918) 756-9909 · Fax (918) 756-2464

Phone(918) 224-9310

Fax(918) 756-2464

Organization SubpartYesParent: Muscogee (creek) Nation Department Of Health

Authorized OfficialShawn TerrySecretary Of Health · (918) 756-9909

Enumeration DateAugust 30, 2006

Last NPPES UpdateDecember 7, 20234 updates tracked since enumeration

NPPES CertifiedDecember 7, 2023

✔ NPI 1457460321 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyIndian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacySuppliers

Taxonomy Code332800000X

License✔ Licensed in OK · 11-4109

Definition

An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603.

Also ListedPharmacyTaxonomy 333600000X

Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X

Also ListedPharmacy · Specialty PharmacyTaxonomy 3336S0011X

1125 E CLEVELAND AVE, Sapulpa, OK 74066

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Other Names 1

Doing Business AsSapulpa Indian Health Center

Other Identifiers 2

Medicaid100709130COK

Other2075853Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness, Ambetter from Buckeye Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sapulpa Indian Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateOklahomaEnrollment IDO20231211002782DME · Indian Health Service or Tribal FacilityDue dateDecember 31, 2026

Source: CMS Revalidation Due Date List, October 2026 release.

Other Providers at the Same Location NPPES 20

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

MRS. BREANNA R DALE RD,LD

Dietitian, Registered