# SEMINOLE HMA LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** AllianceHealth Clinic Shawnee
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689177370
- **Authorized official:** PAULA LALOR (DIRECTOR / DELEGATED OFFICIAL)
- **Authorized official phone:** (629) 215-3953

## Contact information

- **Practice address:** 3700 N KICKAPOO AVE STE 124, SHAWNEE, OK 74804-0007
- **Practice address phone:** (405) 273-6383
- **Practice address fax:** (405) 214-1078
- **Mailing address:** 3700 N KICKAPOO AVE STE 124, SHAWNEE, OK 74804-0007
- **Mailing address phone:** (405) 273-6383
- **Mailing address fax:** (405) 214-1078

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | 2342 | OK | Yes |

## Other

- **Enumeration date:** 03/09/2018
- **Last updated:** 04/21/2021