# THREE RIVERS HEALTH CENTER MUSKOGEE

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

## Provider details

- **NPI number:** 1265975668
- **Authorized official:** MS. JACKIE RENEE SANDERS LPN (PUBLIC HEALTH)
- **Authorized official phone:** (918) 781-6500

## Contact information

- **Practice address:** 1001 S 41ST ST E, MUSKOGEE, OK 74403-6253
- **Practice address phone:** (918) 781-6500
- **Practice address fax:** (918) 686-8398
- **Mailing address:** 1001 S 41ST ST E, MUSKOGEE, OK 74403-6253
- **Mailing address phone:** (918) 781-6500
- **Mailing address fax:** (918) 686-8398

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | L0039734 | OK | Yes |

## Other

- **Enumeration date:** 12/02/2016
- **Last updated:** 12/02/2016