Organization
RHA TISHOMINGO LLC
Active
Other names
Johnston Memorial Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL R SCHUSTER (CEO)
(405) 917-0300
Entity
Organization
Contact information
Practice address
1000 SOUTH BYRD, TISHOMINGO, OK 73460-3265
(580) 371-2327
Mailing address
PO BOX 12932, OKLAHOMA CITY, OK 73157-2932
(405) 917-0300
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
2283
OK
Other
Enumeration date
02/01/2008
Last updated
07/20/2009
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