NPI | 1528302957 |
---|---|
Entity Type | Organization |
Authorized Contact | LINDSAY CRABB Administrator 1580-782-3353 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: OK R 0057113) |
Additional Taxonomies | 282NC0060X General Acute Care Hospital, Critical Access (Licence: OK R 0057113) |
Enumeration Date | 2012-11-26 |
Last Update Date | 2012-11-26 |