Organization Name: | MARSHALL COUNTY HMA, LLC |
NPI Number: | 1467476556 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LAURIE HOLTSFORD (AUTHORIZED OFFICIAL) |
Mailing Address: | 901 S 5th Ave Madill |
State: | OK US |
Postal Code: | 734463640 |
Phone Number: | 5807953384 |
Fax Number: | |
NPI Enumeration Date: | 07/26/2006 |
NPI Last Update Date: | 07/23/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 282NC0060X |
License Number: | 2282 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | General Acute Care Hospital |
Taxonomy Specialization: | Critical Access |
Taxonomy Definition: |