Organization
MCCURTAIN MEMORIAL MEDICAL MANAGEMENT, INC.
Active
Parent organization
MCCURTAIN MEMORIAL MEDICAL MANAGEMENT, INC.
Other names
McCurtain Memorial Hospital Part B
Organization subpart
Yes
Provider details
NPI number
Legal business name
MCCURTAIN MEMORIAL MEDICAL MANAGEMENT, INC.
Authorized official
KENA CHEREE ALLEN (CFO)
(580) 208-3103
Entity
Organization
Contact information
Practice address
1301 E LINCOLN ROAD, IDABEL, OK 74745-7300
(580) 286-7623
(580) 208-3199
Mailing address
1301 E LINCOLN ROAD, IDABEL, OK 74745-7300
(580) 286-7623
(580) 208-3199
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100700920B
—
OK
Enumeration date
05/09/2007
Last updated
04/25/2023
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