Organization
LOGAN HOSPITAL AND MEDICAL CENTER AUTHORITY
Active
Other names
Logan Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE ROWLEY (CHIEF EXECUTIVE OFFICER)
(405) 282-6700
Entity
Organization
Contact information
Practice address
200 S ACADEMY RD, GUTHRIE, OK 73044-8727
(405) 282-6700
(405) 282-6790
Mailing address
PO BOX 1017, GUTHRIE, OK 73044-1017
(405) 282-6700
(405) 282-6790
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
2267
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100700110A
—
OK
05
—
100700110G
—
OK
01
—
CD8588
RAILROAD MEDICARE
—
Enumeration date
05/31/2005
Last updated
09/13/2012
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