Organization Name: | PAULS VALLEY GENERAL HOSPITAL |
NPI Number: | 1255393369 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRENT MYNHIER (CHIEF FINANCIAL OFFICER) |
Mailing Address: | 100 Valley Drive Pauls Valley |
State: | OK US |
Postal Code: | 730756613 |
Phone Number: | 4052385501 |
Fax Number: | 4052385926 |
NPI Enumeration Date: | 04/04/2006 |
NPI Last Update Date: | 09/30/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 4116 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |