# PAWHUSKA HOSPITAL INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PAWHUSKA HOSPITAL, INC.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1871092494
- **Legal business name:** PAWHUSKA HOSPITAL, INC.
- **Authorized official:** LOREN QUIRAM (DIRECTOR OF QUALITY MANAGEMENT)
- **Authorized official phone:** (918) 287-5123

## Contact information

- **Practice address:** 1109 E 15TH ST, PAWHUSKA, OK 74056
- **Practice address phone:** (918) 287-3232
- **Mailing address:** 1101 E 15TH ST, PAWHUSKA, OK 74056-1901

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2300X | Primary Care Clinic/Center | — | OK | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | — |
| 261QR1300X | Rural Health Clinic/Center | — | OK | Yes |

## Other

- **Enumeration date:** 02/09/2018
- **Last updated:** 06/01/2020