| Organization Name: | HASTINGS INDIAN MEDICAL CENTER |
| NPI Number: | 1003807827 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DANTE PEREZ (PEDIATRICIAN) |
| Mailing Address: | 100 S Bliss Ave Tahlequah |
| State: | OK US |
| Postal Code: | 744642512 |
| Phone Number: | 9184583100 |
| Fax Number: | |
| NPI Enumeration Date: | 11/01/2005 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NR1301X |
| License Number: | 19710 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Rural |
| Taxonomy Definition: | |