Organization
MAYES COUNTY HMA, LLC
Active
Other names
AllianceHealth Pryor
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE HOLTSFORD (AUTHORIZED OFFICIAL)
(615) 465-7466
Entity
Organization
Contact information
Practice address
111 N BAILEY ST, PRYOR, OK 74361-4201
(918) 825-1600
Mailing address
111 N BAILEY ST, PRYOR, OK 74361-4201
(918) 825-1600
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
2183
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100700040A
—
OK
Enumeration date
08/16/2006
Last updated
07/23/2015
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