Organization Name: | LEFLORE COUNTY HOSPITAL AUTHORITY |
NPI Number: | 1558740837 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL J CARTER (CHIEF EXECUTITIVE OFFICE) |
Mailing Address: | 304 Highway 59 N Heavener |
State: | OK US |
Postal Code: | 749372255 |
Phone Number: | 9186532918 |
Fax Number: | 9186533211 |
NPI Enumeration Date: | 05/20/2015 |
NPI Last Update Date: | 09/02/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR1300X |
License Number: | 373480 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rural Health |
Taxonomy Definition: |