Organization
MEMORIAL HOSPITAL OF TEXAS COUNTY AUTHORITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY JOHNSON (CEO)
(580) 338-6515
Entity
Organization
Contact information
Practice address
520 MEDICAL DRIVE, GUYMON, OK 73942
(580) 338-3113
(580) 468-3442
Mailing address
520 MEDICAL DRIVE, GUYMON, OK 73942
(580) 338-3113
(580) 468-3442
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
2249
OK
282NC0060X
Critical Access Hospital
Primary
2249
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100699630A
—
OK
05
—
100699630C
—
OK
Enumeration date
12/09/2005
Last updated
03/31/2025
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