# MARSHALL COUNTY HMA LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** INTEGRIS Kingston Medical Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659372712
- **Authorized official:** STEVEN E CLIFTON (SENIOR VICE PRESIDENT)
- **Authorized official phone:** (239) 598-3131

## Contact information

- **Practice address:** 700 E. HIGHWAY 70, KINGSTON, OK 73439
- **Practice address phone:** (580) 564-4944
- **Practice address fax:** (580) 564-4344
- **Mailing address:** PO BOX 762, KINGSTON, OK 73439-0762
- **Mailing address phone:** (580) 564-4944

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/10/2005
- **Last updated:** 06/12/2013