# KAY COUNTY OKLAHOMA HOSPITAL COMPANY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ponca City Emergency Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407075161
- **Authorized official:** GARY D NEWSOME (PRESIDENT)
- **Authorized official phone:** (615) 465-7043

## Contact information

- **Practice address:** 1900 N 14TH ST, PONCA CITY, OK 74601-2035
- **Practice address phone:** (580) 765-3321
- **Practice address fax:** (580) 765-0341
- **Mailing address:** PO BOX 1547, SEDALIA, MO 65302-1547
- **Mailing address phone:** (800) 762-5695
- **Mailing address fax:** (660) 827-2423

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | OK | Yes |

## Other

- **Enumeration date:** 04/24/2007
- **Last updated:** 07/21/2022