Pawnee Nation IHS Drive Thru Facility
Healthcare Facility Construction in Pawnee OK
Developed for the Pawnee Nation in partnership with the Indian Health Service (IHS), this ground-up healthcare facility was designed to support mass testing, treatment, and immunization efforts. It stands as a permanent solution to the temporary outdoor operations previously used for public health crises.
This project marked a milestone for Stronghold Construction as our first ground-up build and our first progressive design-build delivery. The facility provides a climate-controlled, professional environment for both healthcare providers and tribal members.
Progressive Design-Build Healthcare Delivery
Project Overview
The Pawnee Nation IHS Drive-Thru facility was built to streamline rapid public health responses. Its design emphasizes vehicle flow, patient safety, and clinical efficiency, allowing for high-volume testing and treatment without compromising care quality.
Stronghold managed every phase of the project, ensuring that the new infrastructure met strict federal compliance standards. The facility serves as a critical asset in the Pawnee Nation’s healthcare portfolio, providing a durable platform for future community health initiatives.
Project Details
IHS Healthcare Testing Infrastructure
Client: Pawnee Nation & Indian Health Service
Location: Pawnee, Oklahoma
Delivery Method: Progressive Design-Build
Project Type: Specialized Healthcare Facility
Building Size: ~2,500 Square Feet
Structure: Ground-up Healthcare Infrastructure
Project Goals
Rapid Public Health
Response Goals
The project was driven by several critical objectives:
01. Replace temporary outdoor tents with a permanent, climate-controlled facility
02. Support high-volume drive-thru testing and immunization efforts
03. Meet all IHS and federal medical documentation requirements
04. Deliver a ground-up facility under a fast-track schedule
Key Challenges
Subcontractor Scarcity
A busy regional market required proactive scheduling to ensure specialized healthcare trades were available.
Federal Compliance
Navigating the rigorous documentation and inspection standards required for IHS-funded medical facilities.
First-Build Milestones
Balancing the complexities of Stronghold's first ground-up project with a progressive design-build model.
Efficiency x Open-Book Pricing
Stronghold executed the project with a focus on cost certainty, utilizing phased work releases and open-book pricing. The result was a facility delivered under budget, with unused contingency funds returned to the Pawnee Nation and a formal recommendation for future IHS work.
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