# CAH ACQUISITION COMPANY 12 LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CAH ACQUISITION COMPANY 12 LLC
- **Other names:** THE PAWNEE CLINIC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1598039620
- **Legal business name:** CAH ACQUISITION COMPANY 12 LLC
- **Authorized official:** TINA J STEELE (CEO)
- **Authorized official phone:** (918) 642-3291

## Contact information

- **Practice address:** 535 6TH ST, PAWNEE, OK 74058
- **Practice address phone:** (918) 762-3942
- **Practice address fax:** (918) 762-4675
- **Mailing address:** 40 HOSPITAL RD, FAIRFAX, OK 74637-5084
- **Mailing address phone:** (918) 642-3291
- **Mailing address fax:** (918) 642-3694

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | 2274 | OK | Yes |

## Other

- **Enumeration date:** 03/07/2012
- **Last updated:** 07/16/2018