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Organization
MUSKOGEE REGIONAL MEDICAL CENTER LLC
Active
Organization
MUSKOGEE REGIONAL MEDICAL CENTER LLC
Active
Other names
Eastar Health System Main Campus
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN L PAGE (CEO)
(615) 844-9800
Entity
Organization
Contact information
Practice address
300 ROCKEFELLER DR, MUSKOGEE, OK 74401-5075
(918) 682-5501
(918) 684-2552
Mailing address
103 CONTINENTAL PL, SUITE 200, BRENTWOOD, TN 37027-1041
(615) 844-9800
(615) 844-9883
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
2177
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000370025001
BLUE CROSS PROVIDER ID
OK
05
—
100700630A
—
OK
Enumeration date
02/12/2007
Last updated
03/14/2017
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