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Organization

SEQUOYAH COUNTY CITY OF SALLISAW HOSPITAL AUTHORITY

Active
Parent organization
SEQUOYAH COUNTY CITY OF SALLISAW HOSPITAL AUTHORITY
Other names
Sequoyah Memorial Hospital DME
Organization subpart
Yes

Provider details

NPI number
Legal business name
SEQUOYAH COUNTY CITY OF SALLISAW HOSPITAL AUTHORITY
Authorized official
MRS. DEBRA R. KNOKE (CEO)
(918) 774-1100
Entity
Organization

Contact information

Practice address
213 E REDWOOD AVE, SALLISAW, OK 74955-2811
(918) 774-1100
(918) 774-1143
Mailing address
213 E REDWOOD AVE, PO BOX 505, SALLISAW, OK 74955-2811
(918) 774-1100
(918) 774-1143

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100700190E
OK
Enumeration date
12/12/2006
Last updated
12/06/2012
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