Organization
CORDELL MEMORIAL HOSPITAL 0189
Active
Organization
CORDELL MEMORIAL HOSPITAL 0189
Active
Other names
Cordell Memorial Hospital Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGANNA LEA BUSS (CFO)
(580) 774-4762
Entity
Organization
Contact information
Practice address
1109 N GLENN L ENGLISH ST, CORDELL, OK 73632-2007
(580) 832-3339
(580) 832-5076
Mailing address
1220 N GLENN L ENGLISH ST, CORDELL, OK 73632-2010
(580) 832-3339
(580) 832-5076
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
261Q00000X
Clinic/Center
Primary
2221
OK
Other
Enumeration date
06/05/2014
Last updated
03/31/2026
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