# PURCELL MUNICIPAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Family Medicine of Purcell
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851630404
- **Authorized official:** MR. JIM T BERRY (CEO)
- **Authorized official phone:** (405) 527-2207

## Contact information

- **Practice address:** 1401 N 4TH AVE, SUITE 101, PURCELL, OK 73080-1806
- **Practice address phone:** (405) 527-9314
- **Practice address fax:** (405) 527-9266
- **Mailing address:** PO BOX 511, PURCELL, OK 73080-0511
- **Mailing address phone:** (405) 527-6524
- **Mailing address fax:** (405) 527-6963

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 27175 | OK | Yes |

## Other

- **Enumeration date:** 02/01/2013
- **Last updated:** 02/01/2013