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Organization
HASTINGS INDIAN MEDICAL CENTER
Active
Organization
HASTINGS INDIAN MEDICAL CENTER
Active
Other names
IHS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANTE PEREZ MD (PEDIATRICIAN)
(918) 458-3120
Entity
Organization
Contact information
Practice address
100 S BLISS AVE, TAHLEQUAH, OK 74464-2512
(918) 458-3100
Mailing address
100 S BLISS AVE, TAHLEQUAH, OK 74464-2512
(918) 458-3100
Taxonomy
Speciality
Code
Description
License number
State
282NR1301X
Rural Acute Care Hospital
Primary
19710
OK
Other
Enumeration date
11/01/2005
Last updated
08/22/2020
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