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Organization
KAY COUNTY OKLAHOMA HOSPITAL COMPANY LLC
Active
Organization
KAY COUNTY OKLAHOMA HOSPITAL COMPANY LLC
Active
Other names
AllianceHealth Ponca City
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER L JACKSON (SENIOR DIRECTOR PROVIDER ENROLLMENT)
(615) 465-3334
Entity
Organization
Contact information
Practice address
1900 N 14TH ST, PONCA CITY, OK 74601-2035
(580) 715-4581
Mailing address
PO BOX 689022, FRANKLIN, TN 37068-9022
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
05/22/2023
Last updated
05/23/2023
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