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Organization

SEQUOYAH COUNTY-CITY OF SALLISAW HOSPITAL AUTHORITY

Active
Parent organization
SEQUOYAH COUNTY-CITY OF SALLISAW HOSPITAL AUTHORITY
Other names
SMH Redwood Clinic
Organization subpart
Yes

Provider details

NPI number
Legal business name
SEQUOYAH COUNTY-CITY OF SALLISAW HOSPITAL AUTHORITY
Authorized official
STEPHANIE SIX (ADMINISTRATOR)
(918) 774-1100
Entity
Organization

Contact information

Practice address
511 E REDWOOD AVE, SALLISAW, OK 74955-3020
(918) 774-1100
(918) 774-1143
Mailing address
213 E REDWOOD AVE, SALLISAW, OK 74955-2811
(918) 774-1100
(918) 774-1143

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
2189
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100700190M
OK
Enumeration date
06/25/2006
Last updated
08/08/2022
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