# CLINTON HOSPITAL AUTHORITY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CLINTON HOSPITAL AUTHORITY
- **Other names:** Clinton Regional Hospital
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1528812237
- **Legal business name:** CLINTON HOSPITAL AUTHORITY
- **Authorized official:** LEN LACEFIELD (CEO)
- **Authorized official phone:** (405) 454-6058

## Contact information

- **Practice address:** 100 N 30TH ST, CLINTON, OK 73601-3117
- **Practice address phone:** (580) 547-5128
- **Practice address fax:** (580) 547-5011
- **Mailing address:** PO BOX 1177, CLINTON, OK 73601-1177
- **Mailing address phone:** (580) 323-0261
- **Mailing address fax:** (580) 323-3546

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/17/2024
- **Last updated:** 04/17/2024
