Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

United Keetoowah Band Community Health Initiative, LLC

Point of Service in Tahlequah, OK · enumerated 2012 · authorized official Bryan Shade, Executive Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1962752659

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Registry record

Entity type Organization (Type 2)

Legal business name United Keetoowah Band Community Health Initiative, LLC

Practice address 2450 S Muskogee Ave, Tahlequah, OK, 74464

Phone (918) 431-1818

Fax (918) 431-1873

Enumeration date Sep 11, 2012

Last updated in NPPES Sep 11, 2012

Taxonomy & classification

305S00000X Point of Service Managed Care Organizations · License OK4140 (OK) Primary

Authorized official

Name Bryan Shade

Title Executive Director

Phone (918) 431-1818

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2012-09-11. Verify at npiregistry.cms.hhs.gov.

Where is United Keetoowah Band Community Health Initiative, LLC located?

The practice location on file with NPPES is in Tahlequah, OK.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-09-11.