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Organization

PAWHUSKA HOSPITAL, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JASON MCBRIDE (ADMINISTRATOR)
(918) 287-3232
Entity
Organization

Contact information

Practice address
1101 E 15TH ST, PAWHUSKA, OK 74056-1901
(918) 287-3232
(918) 287-5161
Mailing address
1101 E 15TH ST, PAWHUSKA, OK 74056-1901
(918) 287-3232
(918) 287-5161

Taxonomy

Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
2271
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000370012001
BCBS PROVIDER NUMBER
OK
05
100690120A
OK
05
100690120C
OK
Enumeration date
07/14/2005
Last updated
10/25/2023
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