# CLAREMORE INDIAN HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043464076
- **Authorized official:** MR. JOHN SPENCER MELTON (REGISTERED NURSE)
- **Authorized official phone:** (918) 342-6273

## Contact information

- **Practice address:** 101 S MOORE AVE, CLAREMORE, OK 74017-5047
- **Practice address phone:** (918) 342-6200
- **Mailing address:** 101 S MOORE AVE, CLAREMORE, OK 74017-5047
- **Mailing address phone:** (918) 342-6200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 286500000X | Military Hospital | 77138 | LA | Yes |

## Other

- **Enumeration date:** 11/04/2008
- **Last updated:** 11/04/2008