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Organization
MAYES COUNTY HMA, LLC
Active
Organization
MAYES COUNTY HMA, LLC
Active
Other names
AllianceHealth Pryor
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE HOLTSFORD (AUTHORIZED OFFICIAL)
(615) 465-7466
Entity
Organization
Contact information
Practice address
111 N BAILEY ST, PRYOR, OK 74361-4201
(918) 825-1600
Mailing address
111 N BAILEY ST, PRYOR, OK 74361-4201
(918) 825-1600
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
2183
OK
282N00000X
General Acute Care Hospital
Primary
2183
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100096890A
—
OK
05
—
100118840A
—
OK
05
—
100133830B
—
OK
05
—
100195450C
—
OK
05
—
100204600A
—
OK
05
—
100252290A
—
OK
05
—
100700040A
—
OK
05
—
100700040E
—
OK
05
—
100784710A
—
OK
05
—
200001840C
—
OK
05
—
200017970A
—
OK
05
—
200075950C
—
OK
05
—
200114640A
—
OK
01
—
241400717
MEDICARE PIN
OK
01
—
241407503
MEDICARE PIN
OK
01
—
243726904
MEDICARE PIN
OK
01
—
249404202
MEDICARE PIN
OK
01
—
24M802409
MEDICARE PIN
OK
01
—
930013792
RAILROAD MEDICARE
OK
01
—
G001501005
MEDICARE PIN
OK
01
—
G001501039
MEDICARE PIN
OK
01
—
G001501064
MEDICARE PIN
OK
01
—
G37001501
MEDICARE PIN
OK
01
—
P00121324
RAILROAD MEDICARE
OK
01
—
P00130952
RAILROAD MEDICARE
OK
01
—
P00216948
RAILROAD MEDICARE
OK
01
—
P00450324
RAILROAD MEDICARE
OK
Enumeration date
07/24/2006
Last updated
07/23/2015
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