Organization
ST. ANTHONY SHAWNEE HOSPITAL, INC
Active
Parent organization
ST. ANTHONY SHAWNEE HOSPITAL, INC
Other names
SSM Health St. Anthony Hospital - Shawnee
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST. ANTHONY SHAWNEE HOSPITAL, INC
Authorized official
MR. CHARLES SKILLINGS (PRESIDENT-CHIEF EXECUTIVE OFFICER)
(405) 878-8110
Entity
Organization
Contact information
Practice address
1900 S GORDON COOPER DR, SHAWNEE, OK 74801
(405) 273-2270
(405) 878-8101
Mailing address
1102 W MACARTHUR ST, SHAWNEE, OK 74804-1743
(405) 273-2270
(405) 878-8101
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
2162
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000370149001
BCBS
OK
05
—
100740840B
—
OK
Enumeration date
06/08/2005
Last updated
08/30/2018
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