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Organization
SEQUOYAH COUNTY-CITY OF SALLISAW HOSPITAL AUTHORITY
Active
Organization
SEQUOYAH COUNTY-CITY OF SALLISAW HOSPITAL AUTHORITY
Active
Parent organization
SEQUOYAH COUNTY-CITY OF SALLISAW HOSPITAL AUTHORITY
Other names
SMH Redwood Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
SEQUOYAH COUNTY-CITY OF SALLISAW HOSPITAL AUTHORITY
Authorized official
STEPHANIE SIX (ADMINISTRATOR)
(918) 774-1100
Entity
Organization
Contact information
Practice address
511 E REDWOOD AVE, SALLISAW, OK 74955-3020
(918) 774-1100
(918) 774-1143
Mailing address
213 E REDWOOD AVE, SALLISAW, OK 74955-2811
(918) 774-1100
(918) 774-1143
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
2189
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100700190M
—
OK
Enumeration date
06/25/2006
Last updated
08/08/2022
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