Organization Name: | CRAIG COUNTY HOSPITAL AUTHORITY |
NPI Number: | 1497057699 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | HERBERT F. CRUM (CEO) |
Mailing Address: | 343 S. Commercial St. Welch |
State: | OK US |
Postal Code: | 743690000 |
Phone Number: | 9187883919 |
Fax Number: | 9187883914 |
NPI Enumeration Date: | 11/22/2010 |
NPI Last Update Date: | 03/03/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 282NR1301X |
License Number: | 2182 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | General Acute Care Hospital |
Taxonomy Specialization: | Rural |
Taxonomy Definition: |