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Organization

WOODWARD HEALTH SYSTEM LLC

Active
Parent organization
WOODWARD HEALTH SYSTEM LLC
Other names
AllianceHealth Woodward Clinics
Organization subpart
Yes

Provider details

NPI number
Legal business name
WOODWARD HEALTH SYSTEM LLC
Authorized official
PAULA LALOR (DIRECTOR/DELEGATED OFFICIAL)
(629) 215-3953
Entity
Organization

Contact information

Practice address
1611 MAIN ST STE 102, WOODWARD, OK 73801-3064
(580) 254-8692
(580) 254-2718
Mailing address
900 17TH ST, WOODWARD, OK 73801-2448
(580) 256-5511

Taxonomy

Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
20019120J
OK
Enumeration date
07/13/2012
Last updated
06/22/2023
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