| Organization Name: | PRAGUE HEALTHCARE ALLIANCE INC |
| NPI Number: | 1033167879 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOAN WALTERS (CEO ADMINISTRATOR) |
| Mailing Address: | 1322 Klabzuba Ave Prague |
| State: | OK US |
| Postal Code: | 748641090 |
| Phone Number: | 4055674922 |
| Fax Number: | 4055674290 |
| NPI Enumeration Date: | 05/04/2006 |
| NPI Last Update Date: | 12/27/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NC0060X |
| License Number: | 2164 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Critical Access |
| Taxonomy Definition: | |