Organization Name: | PUSHMATAHA COUNTY HOSPITAL AUTHORITY |
NPI Number: | 1144212556 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STEPHEN POE (CFO) |
Mailing Address: | 510 E Main St Antlers |
State: | OK US |
Postal Code: | 745233262 |
Phone Number: | 5802983341 |
Fax Number: | 5802982206 |
NPI Enumeration Date: | 08/22/2005 |
NPI Last Update Date: | 11/07/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 282NR1301X |
License Number: | 2199 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | General Acute Care Hospital |
Taxonomy Specialization: | Rural |
Taxonomy Definition: |