# STILLWATER MEDICAL CENTER AUTHORITY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Stillwater Internal Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457961567
- **Authorized official:** DENISE ADRIENNE WEBBER (CEO)
- **Authorized official phone:** (405) 742-5230

## Contact information

- **Practice address:** 1411 W 7TH AVE STE 102, STILLWATER, OK 74074-4300
- **Practice address phone:** (405) 533-6048
- **Mailing address:** PO BOX 720006, NORMAN, OK 73070-4006
- **Mailing address phone:** (405) 742-5300

## Taxonomy

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

## Other

- **Enumeration date:** 08/04/2020
- **Last updated:** 08/04/2020