| Organization Name: | RHA TISHOMINGO LLC |
| NPI Number: | 1174701080 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL R SCHUSTER (CEO) |
| Mailing Address: | 1000 South Byrd Tishomingo |
| State: | OK US |
| Postal Code: | 734603265 |
| Phone Number: | 5803712327 |
| Fax Number: | |
| NPI Enumeration Date: | 02/01/2008 |
| NPI Last Update Date: | 07/20/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NC0060X |
| License Number: | 2283 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Critical Access |
| Taxonomy Definition: | |