Organization
GRADY MEMORIAL HOSPITAL
Active
Organization
GRADY MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE PAUTLER (CEO)
(405) 779-2150
Entity
Organization
Contact information
Practice address
2220 W IOWA AVE, CHICKASHA, OK 73018-2738
(405) 224-2300
(405) 779-2413
Mailing address
2220 W IOWA AVE, CHICKASHA, OK 73018-2738
(405) 224-2300
(405) 779-2413
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100700820A
—
OK
Enumeration date
08/22/2006
Last updated
01/06/2026
Update your record
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