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Organization
SEQUOYAH COUNTY CITY TRUST
Active
Organization
SEQUOYAH COUNTY CITY TRUST
Active
Other names
SMH Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES E. WADE (CEO)
(918) 774-1100
Entity
Organization
Contact information
Practice address
213 E REDWOOD AVE, SALLISAW, OK 74955-2811
(918) 774-1100
(918) 774-1103
Mailing address
PO BOX 505, SALLISAW, OK 74955-0505
(918) 774-1100
(918) 774-1103
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
2189
OK
Other
Enumeration date
03/20/2007
Last updated
08/22/2020
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