CHICKASAW NATION DIVISION OF HEALTH
NPI 1649330242
Clinic/Center - Primary Care in Tishomingo, OK

Active since December 12, 2006CLIA 37D2264869 · Waiver
817 E 6TH ST, TISHOMINGO, OK 73460(580) 371-2392 Get Directions Write a Review

NPPES record last updated: July 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 10, 2025, Jun 12, 2024, Jun 10, 2022 and 1 more (4 updates tracked since 2018).

About Chickasaw Nation Division Of Health NPPES

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

CHICKASAW NATION DIVISION OF HEALTH (NPI 1649330242), doing business as Chickasaw Nation Tishomingo Clinic, is a healthcare organization registered as a primary care in Tishomingo, Oklahoma and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through July 19, 2028 and lists Denise Carpenter, Contract Management Coordinator, as its authorized official.

NPPES Registry Identity

NPI1649330242
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameCHICKASAW NATION DIVISION OF HEALTH
Location Address817 E 6TH STTishomingo, OK 73460-1800
Mailing Address1925 Warrior WayAda, OK 74820 · (580) 421-4570 · Fax (580) 421-6283
Organization SubpartNo
Authorized OfficialDenise CarpenterContract Management Coordinator · (580) 421-4570
Enumeration DateDecember 12, 2006
Last NPPES UpdateJuly 10, 20254 updates tracked since enumeration
NPPES CertifiedJuly 10, 2025
NPI 1649330242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedClinic/CenterTaxonomy 261Q00000X
Also ListedClinic/Center · Public Health, FederalTaxonomy 261QP0904X
817 E 6TH ST, Tishomingo, OK 73460

Other Names 1

Doing Business AsChickasaw Nation Tishomingo Clinic

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

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 37D2264869

Chickasaw Nation Tishomingo Clinic · Tishomingo, OK
Active · expires Jul 19, 2028
CLIA Number37D2264869
Laboratory TypePhysician Office
Certificate Effective DateJuly 20, 2026
Certificate Expiration DateJuly 19, 2028
Laboratory DirectorNatalie Brixey
Laboratory Phone(580) 371-2361
Laboratory LocationChickasaw Nation Tishomingo Clinic817 E 6th St, Tishomingo, OK 73460
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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.

Counselor (Mental Health)
817 E 6TH ST
TISHOMINGO, OK 73460
Physical Medicine & Rehabilitation
817 E 6TH ST
TISHOMINGO, OK 73460
Nurse Practitioner
817 E 6TH ST
TISHOMINGO, OK 73460
Physical Therapy Assistant
817 E 6TH ST
TISHOMINGO, OK 73460
General Practice
817 E 6TH ST
TISHOMINGO, OK 73460
Pharmacist
817 E 6TH ST
TISHOMINGO, OK 73460
Registered Nurse (Community Health)
817 E 6TH ST
TISHOMINGO, OK 73460
Physician Assistant (Medical)
817 E 6TH ST
TISHOMINGO, OK 73460

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 Division Of Health's NPI number?

The NPI number for Chickasaw Nation Division Of Health is 1649330242. It was assigned to this organization in the NPPES registry on December 12, 2006. The provider is doing business as Chickasaw Nation Tishomingo Clinic.

Where is Chickasaw Nation Division Of Health located?

Chickasaw Nation Division Of Health is located at 817 E 6th St, Tishomingo, OK 73460. The listed phone number is (580) 371-2392.

What is Chickasaw Nation Division Of Health's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Chickasaw Nation Division Of Health hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D2264869) is associated with this NPI, valid through July 19, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Chickasaw Nation Division Of Health accept?

Health plans from Blue Cross and Blue Shield of Oklahoma and UnitedHealthcare list Chickasaw Nation Division Of Health as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Chickasaw Nation Division Of Health was last updated on July 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.