Organization Name: | LOGAN HOSPITAL AND MEDICAL CENTER AUTHORITY |
NPI Number: | 1043213382 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STEVE ROWLEY (CHIEF EXECUTIVE OFFICER) |
Mailing Address: | 200 S Academy Rd Guthrie |
State: | OK US |
Postal Code: | 730448727 |
Phone Number: | 4052826700 |
Fax Number: | 4052826790 |
NPI Enumeration Date: | 05/31/2005 |
NPI Last Update Date: | 09/13/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 282NC0060X |
License Number: | 2267 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | General Acute Care Hospital |
Taxonomy Specialization: | Critical Access |
Taxonomy Definition: |