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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