Organization
MAYES COUNTY HMA, LLC
Active
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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