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Organization
MCCURTAIN MEMORIAL MEDICAL MANAGEMENT, INC.
Active
Organization
MCCURTAIN MEMORIAL MEDICAL MANAGEMENT, INC.
Active
Other names
McCurtain Memorial Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
RAY B. WHITMORE JR. (CFO)
(580) 208-3104
Entity
Organization
Contact information
Practice address
1301 E LINCOLN RD, IDABEL, OK 74745-7300
(580) 208-3100
(580) 208-3199
Mailing address
1301 E LINCOLN RD, IDABEL, OK 74745-7300
(580) 208-3100
(580) 208-3199
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
251E00000X
Home Health Agency
7071
OK
261QE0002X
Emergency Care Clinic/Center
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QR0200X
Radiology Clinic/Center
—
—
273R00000X
Psychiatric Hospital Unit
2202
OK
275N00000X
Medicare Defined Swing Bed Hospital Unit
2202
OK
282NR1301X
Rural Acute Care Hospital
Primary
2202
OK
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100700920A
—
OK
05
—
100700920B
—
OK
05
—
100700920H
—
OK
01
—
9R049
BCBS AR
—
01
—
CD0496
RAILROAD MEDICARE
OK
Enumeration date
05/16/2006
Last updated
08/06/2009
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