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Organization
GREEN COUNTRY MEDICAL, INC
Active
Organization
GREEN COUNTRY MEDICAL, INC
Active
Other names
Green Country Rural Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
LACEE HAYES (RN)
(918) 273-0140
Entity
Organization
Contact information
Practice address
228 WILLOW, SOUTH COFFEYVILLE, OK 74072
(918) 255-6000
Mailing address
712 E OSAGE AVE, NOWATA, OK 74048-3638
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/11/2007
Last updated
07/10/2008
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