# LOGAN HOSPITAL AND MEDICAL CENTER AUTHORITY

> 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:** Center for Internal Medicine and Pediatrics - Crescent
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497753487
- **Authorized official:** STEVE ROWLEY (CEO)
- **Authorized official phone:** (405) 260-4191

## Contact information

- **Practice address:** 400 S GRAND, CRESCENT, OK 73028
- **Practice address phone:** (405) 969-2818
- **Mailing address:** PO BOX 258, CRESCENT, OK 73028-0258
- **Mailing address phone:** (405) 969-2818

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | 2267 | OK | Yes |

## Other

- **Enumeration date:** 07/13/2005
- **Last updated:** 11/15/2007