# PERRY MEMORIAL HOSPITAL AUTHORITY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PERRY MEMORIAL HOSPITAL AUTHORITY
- **Other names:** Community Medical Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1760892921
- **Legal business name:** PERRY MEMORIAL HOSPITAL AUTHORITY
- **Authorized official:** JOSEPH GREENLEE (BOARD CHAIRMAN)
- **Authorized official phone:** (580) 336-3541

## Contact information

- **Practice address:** 1318 ELM ST, PERRY, OK 73077-5034
- **Practice address phone:** (580) 336-9411
- **Practice address fax:** (580) 336-9422
- **Mailing address:** 501 N 14TH ST, PERRY, OK 73077-5021
- **Mailing address phone:** (580) 336-9411
- **Mailing address fax:** (580) 336-9422

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 2268 | OK | Yes |

## Other

- **Enumeration date:** 04/28/2014
- **Last updated:** 10/14/2014