Organization Name: | MCALESTER REGIONAL HEALTH CENTER AUTHORITY |
NPI Number: | 1306203187 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAVID KEITH (PRESIDENT/CEO) |
Mailing Address: | 1308 E Carl Albert Pkwy Mcalester |
State: | OK US |
Postal Code: | 745015130 |
Phone Number: | 9184218018 |
Fax Number: | 9184218620 |
NPI Enumeration Date: | 01/25/2016 |
NPI Last Update Date: | 01/25/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
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