Organization
STILLWATER MEDICAL CENTER AUTHORITY
Active
Other names
Blackwell Regional Hospital, Stillwater Medical - Blackwell
Organization subpart
No
Provider details
NPI number
Authorized official
COURTNEY KOZIKUSKI CEO (CFO)
(580) 363-2311
Entity
Organization
Contact information
Practice address
710 S 13TH ST, BLACKWELL, OK 74631-3700
(580) 363-2311
Mailing address
PO BOX 720006, NORMAN, OK 73070-4006
(405) 533-5300
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
—
—
282NR1301X
Rural Acute Care Hospital
Primary
—
—
Other
Enumeration date
09/30/2016
Last updated
04/01/2025
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