# CLAREMORE INDIAN HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972773448
- **Authorized official:** MR. GEORGE L VALLIERE (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (918) 342-6200

## Contact information

- **Practice address:** 101 SOUTH MOORE AVENUE, CLAREMORE, OK 74017
- **Practice address phone:** (918) 342-6200
- **Practice address fax:** (918) 342-6436
- **Mailing address:** PO BOX 95431, CLEVELAND, OH 44101-0033
- **Mailing address phone:** (918) 342-6200
- **Mailing address fax:** (918) 342-6248

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/11/2008
- **Last updated:** 06/08/2023