Organization
GREAT PLAINS REGIONAL MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COREY LIVELY CEO (CEO)
(580) 225-2511
Entity
Organization
Contact information
Practice address
1801 W 3RD ST, ELK CITY, OK 73644-5145
(580) 225-2511
Mailing address
11083 N 1970 RD, ELK CITY, OK 73644-6412
(580) 339-1139
Taxonomy
Speciality
Code
Description
License number
State
282NW0100X
Women's Hospital
Primary
99035
OK
Other
Enumeration date
12/07/2015
Last updated
12/07/2015
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