# WAGONER HOSPITAL AUTHORITY

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WAGONER HOSPITAL AUTHORITY
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1366674772
- **Legal business name:** WAGONER HOSPITAL AUTHORITY
- **Authorized official:** JUDITH ELIZABETH BROWN (BUSINESS OPERATIONS DIRECTOR)
- **Authorized official phone:** (918) 485-1297

## Contact information

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

## Taxonomy

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