# JOHNSTON COUNTY HOSPITAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Johnston Memorial Hospital
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588875504
- **Authorized official:** MICHAEL SCHUSTER (PRESIDENT)
- **Authorized official phone:** (405) 917-0300

## Contact information

- **Practice address:** 1000 S BYRD ST, TISHOMINGO, OK 73460-3265
- **Practice address phone:** (580) 371-2327
- **Mailing address:** 3555 NW 58TH ST, SUITE 900, OKLAHOMA CITY, OK 73112-4707

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | — | NULL | — |
| 207P00000X | Emergency Medicine Physician | — | — | — |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | NULL | Yes |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/24/2007
- **Last updated:** 09/11/2025
