# KAY COUNTY OKLAHOMA HOSPITAL COMPANY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Alliancehealth Clinic Ponca City
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932634573
- **Authorized official:** PAULA LALOR (DIRECTOR/DELEGATED OFFICIAL)
- **Authorized official phone:** (629) 215-3953

## Contact information

- **Practice address:** 1908 N 14TH ST STE 203, PONCA CITY, OK 74601-2039
- **Practice address phone:** (580) 718-4501
- **Practice address fax:** (580) 718-4581
- **Mailing address:** 1908 N 14TH ST STE 203, PONCA CITY, OK 74601-2039
- **Mailing address phone:** (580) 718-4501
- **Mailing address fax:** (580) 718-4581

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | 2273 | OK | Yes |

## Other

- **Enumeration date:** 04/20/2017
- **Last updated:** 04/08/2021