Organization
MUSKOGEE REGIONAL MEDICAL CENTER LLC
Active
Other names
Eastar Health System Main Campus
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN L PAGE (CEO)
(615) 844-9800
Entity
Organization
Contact information
Practice address
300 ROCKEFELLER DR, MUSKOGEE, OK 74401-5075
(918) 682-5501
(918) 684-2552
Mailing address
103 CONTINENTAL PL, SUITE 200, BRENTWOOD, TN 37027-1041
(615) 844-9800
(615) 844-9883
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
2177
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000370025001
BLUE CROSS PROVIDER ID
OK
05
—
100700630A
—
OK
Enumeration date
02/12/2007
Last updated
03/14/2017
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