Organization
JEFFERSON COUNTY HEALTHCARE AUTHORITY
Active
Other names
Jefferson County Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD L GILLESPIE FACHE (CEO)
(580) 228-2344
Entity
Organization
Contact information
Practice address
U.S. HIGHWAYS 70 & 81, WAURIKA, OK 73573-0090
(580) 228-2344
(580) 228-3410
Mailing address
PO BOX 90, WAURIKA, OK 73573-0090
(580) 228-2344
(580) 228-3410
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2233
OK
282NC0060X
Critical Access Hospital
Primary
2233
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100730660F
—
OK
Enumeration date
07/13/2006
Last updated
06/14/2017
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