# GREAT PLAINS REGIONAL MEDICAL CENTER

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

## Provider details

- **NPI number:** 1114392875
- **Authorized official:** COREY LIVELY CEO (CEO)
- **Authorized official phone:** (580) 225-2511

## Contact information

- **Practice address:** 1801 W 3RD ST, ELK CITY, OK 73644-5145
- **Practice address phone:** (580) 225-2511
- **Mailing address:** 11083 N 1970 RD, ELK CITY, OK 73644-6412
- **Mailing address phone:** (580) 339-1139

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282NW0100X | Women's Hospital | 99035 | OK | Yes |

## Other

- **Enumeration date:** 12/07/2015
- **Last updated:** 12/07/2015