Organization
OKMULGEE MEMORIAL HOSPITAL, INC
Active
Other names
Okmulgee Memorial Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHARON RENEE RIKER (DIRECTOR/IT)
(918) 758-3135
Entity
Organization
Contact information
Practice address
1401 MORRIS DRIVE, OKMULGEE, OK 74447-6429
(918) 756-4233
(918) 756-5968
Mailing address
PO BOX 1038, OKMULGEE, OK 74447-1038
(918) 756-4233
(918) 756-5968
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
2165
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000370057001
BLUE CROSS
OK
05
—
100260940A
—
OK
05
—
100700360B
—
OK
05
—
106260940A
—
OK
Enumeration date
06/01/2005
Last updated
01/07/2013
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