CHICKASAW NATION DIVISION OF HEALTH CHICKASAW NATION MEDICAL CENTER
NPI 1962563148
Clinic/Center - Primary Care in Ada, OK

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QP2300X and a focus in Primary Care.

Active since December 12, 2006

1007 N COUNTRY CLUB RD, ADA, OK 74820(580) 436-4585(580) 421-4552 Get Directions Write a Review

NPPES record last updated: August 17, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

On this page

About Chickasaw Nation Division Of Health Chickasaw Nation Medical Center NPPES

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

CHICKASAW NATION DIVISION OF HEALTH CHICKASAW NATION MEDICAL CENTER (NPI 1962563148) is a healthcare organization registered as a primary care in Ada, Oklahoma and active in the NPI registry since December 2006. The organization lists Kirbi Meeks, Contract Management Coordinator, as its authorized official.

NPPES Registry Identity

NPI1962563148

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameCHICKASAW NATION DIVISION OF HEALTH CHICKASAW NATION MEDICAL CENTER

Location Address1007 N COUNTRY CLUB RDAda, OK 74820-2847

Mailing Address1925 Warrior WayAda, OK 74820 · (580) 421-4570

Phone(580) 436-4585

Fax(580) 421-4552

Organization SubpartNo

Authorized OfficialKirbi MeeksContract Management Coordinator · (580) 421-4570

Enumeration DateDecember 12, 2006

Last NPPES UpdateAugust 17, 2018

✔ NPI 1962563148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

1007 N COUNTRY CLUB RD, Ada, OK 74820

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma.Insurance ›

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 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

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 for Provider-Performed Microscopy Procedures (PPMP) 37D0723348

Nursing Services & Inchokma Mobile Unit · Ada, OK

Active · expires Aug 31, 2026

CLIA Number37D0723348

Laboratory TypeHospital

Certificate Effective DateSeptember 1, 2024

Certificate Expiration DateAugust 31, 2026

Laboratory DirectorCrystalle Evans

Laboratory Phone(580) 421-4580

Laboratory LocationNursing Services & Inchokma Mobile Unit1921 Stonecipher Blvd, Ada, OK 74820

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 37D0993976

Chickasaw Nation Medical Center Pharmacy · Ada, OK

Expired · Nov 29, 2025

CLIA Number37D0993976

Laboratory TypePharmacy

Certificate Effective DateNovember 30, 2023

Certificate Expiration DateNovember 29, 2025

Laboratory DirectorHaley N. Barrett

Laboratory Phone(580) 421-2994

Laboratory LocationChickasaw Nation Medical Center Pharmacy1904 Carl Albert Blvd, Ste A, Ada, OK 74820

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 12

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

LISA FILLMORE

Pharmacist