Organization
HASTINGS INDIAN MEDICAL CENTER
Active
Other names
IHS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANTE PEREZ MD (PEDIATRICIAN)
(918) 458-3120
Entity
Organization
Contact information
Practice address
100 S BLISS AVE, TAHLEQUAH, OK 74464-2512
(918) 458-3100
Mailing address
100 S BLISS AVE, TAHLEQUAH, OK 74464-2512
(918) 458-3100
Taxonomy
Speciality
Code
Description
License number
State
282NR1301X
Rural Acute Care Hospital
Primary
19710
OK
Other
Enumeration date
11/01/2005
Last updated
08/22/2020
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