Organization
ST ANTHONY SHAWNEE HOSPITAL INC
Active
Other names
ST ANTHONY SHAWNEE HOSPITAL
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHASTA MANUEL (VP - FINANCE)
(405) 272-7282
Entity
Organization
Contact information
Practice address
1102 W MACARTHUR ST, SHAWNEE, OK 74804-1743
(405) 878-8110
(405) 878-8101
Mailing address
7106 SOLUTIONS CTR, CHICAGO, IL 60677-7001
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
208M00000X
Hospitalist Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000370149001
BCBS
OK
05
—
100740840A
—
OK
05
—
100740840B
—
OK
05
—
100740840H
—
OK
Enumeration date
06/08/2005
Last updated
08/06/2025
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