| NPI | 1528122371 |
|---|---|
| Former Legal Business Name | TAHLEQUAH HOSPITAL AUTHORITY |
| Entity Type | Organization |
| Authorized Contact | BRIAN WOODLIFF CEO 918-456-0641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 273Y00000X Rehabilitation Unit (Licence: OK 2178) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2014-08-06 |