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Organization

WAGONER HOSPITAL AUTHORITY

Active
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Organization

WAGONER HOSPITAL AUTHORITY

Active
Parent organization
WAGONER HOSPITAL AUTHORITY
Organization subpart
Yes

Provider details

NPI number
Legal business name
WAGONER HOSPITAL AUTHORITY
Authorized official
JUDITH ELIZABETH BROWN (BUSINESS OPERATIONS DIRECTOR)
(918) 485-1297
Entity
Organization

Contact information

Practice address
1202 W CHEROKEE ST STE E, WAGONER, OK 74467-4629
(918) 485-1877
(918) 485-0535
Mailing address
1200 W CHEROKEE ST, WAGONER, OK 74467-4624
(918) 485-5514
(918) 485-9701

Taxonomy

Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
261QU0200X
Urgent Care Clinic/Center
2298
OK
282N00000X
General Acute Care Hospital
2298
OK

Other

Enumeration date
08/18/2009
Last updated
04/27/2021
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