Organization
PUSHMATAHA COUNTY HOSPITAL AUTHORITY
Active
Other names
Pushmataha Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NICK P ROWLAND (CEO)
(580) 298-3341
Entity
Organization
Contact information
Practice address
510 E MAIN ST, ANTLERS, OK 74523-3262
(580) 298-3341
(580) 298-4713
Mailing address
PO BOX 518, ANTLERS, OK 74523-0518
(580) 298-3341
(580) 298-4713
Taxonomy
Speciality
Code
Description
License number
State
282NR1301X
Rural Acute Care Hospital
Primary
2199
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000370083001
BCBS PUSHMATAHA HOSPITAL
OK
01
—
000373983001
BCBS PRHC
OK
05
—
100700770
—
OK
Enumeration date
08/22/2005
Last updated
02/19/2019
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