# CORDELL MEMORIAL HOSPITAL 0189

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CORDELL MEMORIAL HOSPITAL 0189
- **Other names:** Cordell Family Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1598117137
- **Legal business name:** CORDELL MEMORIAL HOSPITAL 0189
- **Authorized official:** GEORGANNA LEA BUSS (CFO)
- **Authorized official phone:** (580) 774-4762

## Contact information

- **Practice address:** 1200 N GLENN L ENGLISH ST, CORDELL, OK 73632-2015
- **Practice address phone:** (580) 832-3838
- **Practice address fax:** (580) 832-5119
- **Mailing address:** 1220 N GLENN L ENGLISH ST, CORDELL, OK 73632-2010
- **Mailing address phone:** (580) 832-3339
- **Mailing address fax:** (580) 832-5076

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 2221 | OK | — |
| 261QR1300X | Rural Health Clinic/Center | 2221 | OK | Yes |

## Other

- **Enumeration date:** 07/07/2016
- **Last updated:** 03/03/2025