# COUNTY OF TILLMAN-CITY OF FREDERICK MEMORIAL HOSPITAL

> 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
- **Other names:** Memorial Nursing Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447927371
- **Authorized official:** EDDIE WHITWORTH (BOARD CHAIRMAN)
- **Authorized official phone:** (580) 335-7565

## Contact information

- **Practice address:** 319 E JOSEPHINE AVE, FREDERICK, OK 73542-2220
- **Practice address phone:** (580) 335-7565
- **Mailing address:** 319 E JOSEPHINE AVE, FREDERICK, OK 73542-2220
- **Mailing address phone:** (580) 335-7565

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 08/27/2021
- **Last updated:** 08/27/2021