| Organization Name: | CORDELL MEMORIAL HOSPITAL 0189 |
| NPI Number: | 1780682476 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LANDON E HISE (CEO) |
| Mailing Address: | 1220 N Glenn L English St Cordell |
| State: | OK US |
| Postal Code: | 736322010 |
| Phone Number: | 5808323339 |
| Fax Number: | 5808325076 |
| NPI Enumeration Date: | 07/07/2005 |
| NPI Last Update Date: | 09/22/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | EMS211 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |