# MCALESTER REGIONAL HEALTH CENTER

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

## Provider details

- **NPI number:** 1053715144
- **Authorized official:** DAVID KEITH (CEO)
- **Authorized official phone:** (918) 426-1800

## Contact information

- **Practice address:** 4 E CLARK BASS BLVD, SUITE 202, MCALESTER, OK 74501-4269
- **Practice address phone:** (918) 421-6090
- **Practice address fax:** (918) 421-6094
- **Mailing address:** 4 E CLARK BASS BLVD, SUITE 202, MCALESTER, OK 74501-4269
- **Mailing address phone:** (918) 421-6090
- **Mailing address fax:** (918) 421-6094

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | — | NULL | Yes |
| 208800000X | Urology Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/17/2014
- **Last updated:** 03/09/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200456750H | — | OK |