# SEQUOYAH COUNTY-CITY OF SALLISAW HOSPITAL AUTHORITY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SEQUOYAH COUNTY-CITY OF SALLISAW HOSPITAL AUTHORITY
- **Other names:** SMH Redwood Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1003842394
- **Legal business name:** SEQUOYAH COUNTY-CITY OF SALLISAW HOSPITAL AUTHORITY
- **Authorized official:** STEPHANIE SIX (ADMINISTRATOR)
- **Authorized official phone:** (918) 774-1100

## Contact information

- **Practice address:** 511 E REDWOOD AVE, SALLISAW, OK 74955-3020
- **Practice address phone:** (918) 774-1100
- **Practice address fax:** (918) 774-1143
- **Mailing address:** 213 E REDWOOD AVE, SALLISAW, OK 74955-2811
- **Mailing address phone:** (918) 774-1100
- **Mailing address fax:** (918) 774-1143

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 2189 | OK | Yes |

## Other

- **Enumeration date:** 06/25/2006
- **Last updated:** 08/08/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100700190M | — | OK |