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Organization
KAY COUNTY OKLAHOMA HOSPITAL COMPANY LLC
Active
Organization
KAY COUNTY OKLAHOMA HOSPITAL COMPANY LLC
Active
Other names
Alliancehealth Clinic Ponca City
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA LALOR (DIRECTOR/DELEGATED OFFICIAL)
(629) 215-3953
Entity
Organization
Contact information
Practice address
1908 N 14TH ST STE 203, PONCA CITY, OK 74601-2039
(580) 718-4501
(580) 718-4581
Mailing address
1908 N 14TH ST STE 203, PONCA CITY, OK 74601-2039
(580) 718-4501
(580) 718-4581
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
2273
OK
Other
Enumeration date
04/20/2017
Last updated
04/08/2021
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