# FARMERS UNION HOSPITAL ASSOCIATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Great Plains Pat Wall Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114421492
- **Authorized official:** COREY LIVELY (CEO)
- **Authorized official phone:** (580) 821-5300

## Contact information

- **Practice address:** 1800 W 1ST ST, SUITES 101, 102, 103 AND 105, ELK CITY, OK 73644-3133
- **Practice address phone:** (580) 225-2515
- **Practice address fax:** (580) 303-5850
- **Mailing address:** PO BOX 2339, ELK CITY, OK 73648-2339
- **Mailing address phone:** (580) 225-2511
- **Mailing address fax:** (580) 225-9143

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/21/2018
- **Last updated:** 07/30/2025