| Organization Name: | PRAGUE HEALTHCARE ALLIANCE INC |
| NPI Number: | 1013133420 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOAN WALTERS (CEO ADMINISTRATOR) |
| Mailing Address: | 1322 Klabzuba Prague |
| State: | OK US |
| Postal Code: | 74864 |
| Phone Number: | 4055674922 |
| Fax Number: | 4055674290 |
| NPI Enumeration Date: | 04/17/2007 |
| NPI Last Update Date: | 12/27/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NC0060X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Critical Access |
| Taxonomy Definition: | |