# MCALESTER AMBULATORY SURGERY CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487644506
- **Authorized official:** MR. DAVID KEITH (CEO)
- **Authorized official phone:** (918) 426-1800

## Contact information

- **Practice address:** 4 E CLARK BASS BLVD, MCALESTER, OK 74501-4269
- **Practice address phone:** (918) 421-6700
- **Practice address fax:** (918) 421-6777
- **Mailing address:** PO BOX 966, MCALESTER, OK 74502-0966
- **Mailing address phone:** (918) 421-6700
- **Mailing address fax:** (918) 421-6777

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 0068 | OK | Yes |

## Other

- **Enumeration date:** 10/28/2005
- **Last updated:** 04/29/2020