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Organization
FARMERS UNION HOSPITAL ASSOCIATION
Active
Organization
FARMERS UNION HOSPITAL ASSOCIATION
Active
Other names
Great Plains Pat Wall Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
COREY LIVELY (CEO)
(580) 821-5300
Entity
Organization
Contact information
Practice address
1800 W 1ST ST, SUITES 101, 102, 103 AND 105, ELK CITY, OK 73644-3133
(580) 225-2515
(580) 303-5850
Mailing address
PO BOX 2339, ELK CITY, OK 73648-2339
(580) 225-2511
(580) 225-9143
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
03/21/2018
Last updated
07/30/2025
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