Organization
LEFLORE COUNTY HOSPITAL AUTHORITY
Active
Other names
FAMILY MEDICAL CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY B GRIFFIS (CEO)
(918) 635-3441
Entity
Organization
Contact information
Practice address
104 WALL ST, POTEAU, OK 74953-4405
(918) 647-8635
(918) 635-3191
Mailing address
105 WALL ST, POTEAU, OK 74953-4433
(918) 635-3566
(918) 635-3568
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
208600000X
Surgery Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
373479
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100700730I
—
OK
05
—
373479
—
OK
Enumeration date
05/23/2006
Last updated
05/08/2025
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