# COUNTY OF TILLMAN-CITY OF FREDERICK HOSPITAL AUTHORITY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Memorial Hospital & Physician Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588667554
- **Authorized official:** MR. ALBERT W ALLEE CPA/BBA (CEO)
- **Authorized official phone:** (580) 335-7565

## Contact information

- **Practice address:** 319 E JOSEPHINE AVE, FREDERICK, OK 73542-2220
- **Practice address phone:** (580) 335-7565
- **Practice address fax:** (580) 335-7329
- **Mailing address:** 319 E JOSEPHINE AVE, FREDERICK, OK 73542-2220
- **Mailing address phone:** (580) 335-7565
- **Mailing address fax:** (580) 335-7329

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 2213 | OK | Yes |

## Other

- **Enumeration date:** 05/24/2005
- **Last updated:** 03/16/2011