NPI 1831294024
Absentee Shawnee Tribal Health Authority, INC.
Practice location
- Address
- 2029 Gordon Cooper Dr, Shawnee, OK 74801-9005
- Phone
- (405) 878-5859
- Fax
- (405) 669-3099
- Mailing address
- 15951 Little Axe Dr, Norman, OK 73026-9088
Authorised official
- Name
- Marty Lofgren
- Title
- Executive/ Medical Director
- Phone
- (405) 447-0300
Registered specialties
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
Registry record
- NPI
- 1831294024
- Entity type
- Organization
- NPI issued
- 13 Sep 2006
- Record last updated
- 21 Jul 2026
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.