Citizen Potawatomi Nation West Clinic
Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy
781 Grand Casino Blvd, Shawnee
Oklahoma, 74804-1005
405-964-5770 405-964-5785
Citizen Potawatomi Nation West Clinic is not a DME supplier for medicare equipments and products.
Citizen Potawatomi Nation West Clinic is a Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy in Shawnee, Oklahoma. It is located at 781 Grand Casino Blvd, Shawnee and it's customer support contact number is 405-964-5770. The authorized person of Citizen Potawatomi Nation West Clinic is Dr. Doyle Fortney who is West Clinic Manager of the pharmacy and his contact number is 405-964-5770. Active license number of Citizen Potawatomi Nation West Clinic is 105576 for Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy in Oklahoma.
Citizen Potawatomi Nation West Clinic is 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.
Pharmacy Details:
Citizen Potawatomi Nation West Clinic type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Citizen Potawatomi Nation West Clinic |
| Type: | Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy |
| Location: | 781 Grand Casino Blvd, Shawnee, Oklahoma, 74804-1005 |
| Phone: | 405-964-5770 |
| Fax: | 405-964-5785 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Doyle Fortney |
| Position: | West Clinic Manager |
| Contact Number: | 405-964-5770 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1598053993 |
| NPI Enumeration Date: | 19 Jul, 2011 |
| NPI Last Update On: | 16 Nov, 2012 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Citizen Potawatomi Nation West Clinic are as mentioned below.
| Specialization | License Number | State | Status | |
| Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy | 105576 | Oklahoma | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 100244300D | Medicaid | Oklahoma | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 781 Grand Casino Blvd, Shawnee, Oklahoma |
| Zip: | 74804-1005 |
| Phone Number: | 405-964-5770 |
| Fax Number: | 405-964-5785 |
Patients can reach Citizen Potawatomi Nation West Clinic at
781 Grand Casino Blvd, Shawnee, Oklahoma or can
call on customer care at 405-964-5770.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.