# STILLWATER MEDICAL CENTER AUTHORITY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Community Medical Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972005981
- **Authorized official:** DENISE ADRIENNE WEBBER (CEO)
- **Authorized official phone:** (405) 742-5230

## Contact information

- **Practice address:** 1318 ELM ST, PERRY, OK 73077-5034
- **Practice address phone:** (580) 336-9411
- **Practice address fax:** (580) 336-9422
- **Mailing address:** PO BOX 720006, NORMAN, OK 73070-4006
- **Mailing address phone:** (405) 533-6057

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | OK | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/06/2018
- **Last updated:** 03/09/2018