Organization Name: | STIGLER HEALTH AND WELLNESS CENTER, CHECOTAH |
NPI Number: | 1952732109 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TERESA N HUGGINS (CEO) |
Mailing Address: | 118 S Broadway St Checotah |
State: | OK US |
Postal Code: | 744263806 |
Phone Number: | 9184730048 |
Fax Number: | 9184730076 |
NPI Enumeration Date: | 12/12/2013 |
NPI Last Update Date: | 12/12/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QF0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Federally Qualified Health Center (FQHC) |
Taxonomy Definition: |