Organization
CLAREMORE INDIAN HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE L VALLIERE (CHIEF EXECUTIVE OFFICER)
(918) 342-6200
Entity
Organization
Contact information
Practice address
101 SOUTH MOORE AVE, CLAREMORE, OK 74017
(918) 342-6200
(918) 342-6436
Mailing address
PO BOX 95431, CLEVELAND, OH 44101-0033
(918) 342-6200
(918) 342-6248
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100231960I
—
OK
05
—
100689200H
—
OK
05
—
100700620M
—
OK
Enumeration date
07/28/2006
Last updated
06/08/2023
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