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Organization
BLACKWELL HOSPITAL TRUST AUTHORITY
Active
Organization
BLACKWELL HOSPITAL TRUST AUTHORITY
Active
Other names
Blackwell Hospital Physicians Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN TAYLOR (CEO)
(580) 363-2311
Entity
Organization
Contact information
Practice address
706 S 13TH ST STE C, BLACKWELL, OK 74631-3705
(580) 363-2311
Mailing address
PO BOX 720402, NORMAN, OK 73070-4296
(580) 363-2311
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
08/13/2018
Last updated
08/13/2018
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