Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
WAGONER HOSPITAL AUTHORITY
Active
Organization
WAGONER HOSPITAL AUTHORITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBI HAMILTON (CHAIRMAN)
(918) 485-5514
Entity
Organization
Contact information
Practice address
1200 W CHEROKEE ST, WAGONER, OK 74467-4624
(918) 485-5514
(918) 485-9701
Mailing address
1200 W CHEROKEE ST, WAGONER, OK 74467-4624
(918) 485-5514
(918) 485-9701
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
2298
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200100890A
MEDICAID PROVIDER NUMBER FOR PHYSICIAN BILLING
OK
05
—
200100890B
—
OK
01
—
300522264
MEDICARE CLINIC PROVIDER NUMBER
OK
Enumeration date
03/07/2006
Last updated
04/27/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up