| Organization Name: | WEATHERFORD HOSPITAL AUTHORITY |
| NPI Number: | 1093983520 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CASSIE MATLOCK (BUSINESS OFFICE DIRECTOR) |
| Mailing Address: | 3701 E Main St Weatherford |
| State: | OK US |
| Postal Code: | 730963309 |
| Phone Number: | 5807725551 |
| Fax Number: | 5807740964 |
| NPI Enumeration Date: | 02/19/2008 |
| NPI Last Update Date: | 07/23/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 146M00000X |
| License Number: | 2219 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Emergency Medical Service Providers |
| Taxonomy Classification: | Emergency Medical Technician, Intermediate |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An Intermediate EMT is an individual trained and certified to perform intermediate life support treatment in medical emergencies based on individual state boards. |