Organization Name: | FARMERS UNION HOSPITAL ASSOCIATION |
NPI Number: | 1831383496 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | VALORIE TIBBETTS (OFFICE MANAGER) |
Mailing Address: | 825 Sooner Drive Burns Flat |
State: | OK US |
Postal Code: | 73624 |
Phone Number: | 5808215505 |
Fax Number: | |
NPI Enumeration Date: | 08/28/2007 |
NPI Last Update Date: | 01/30/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |