Organization
NEWMAN MEMORIAL HOSPITAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDDIE JACKSON MAJORS CEO (CHIEF EXECUTIVE OFFICER)
(580) 938-2551
Entity
Organization
Contact information
Practice address
905 S MAIN ST, SHATTUCK, OK 73858
(580) 938-2551
(580) 938-2615
Mailing address
905 S MAIN ST, SHATTUCK, OK 73858-9205
(580) 938-2551
(580) 938-2615
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
2243
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000370007001
BLUE CROSS
OK
05
—
073846001
—
TX
05
—
100699360A
—
OK
05
—
100699360B
—
OK
05
—
127341901
—
TX
05
—
127341905
—
TX
Enumeration date
05/24/2005
Last updated
05/14/2020
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