Organization
CORDELL MEMORIAL HOSPITAL 0189
Active
Parent organization
CORDELL MEMORIAL HOSPITAL 0189
Other names
Cordell Hospital Authority dba Cordell Memorial Hospital
Organization subpart
Yes
Provider details
NPI number
Legal business name
CORDELL MEMORIAL HOSPITAL 0189
Authorized official
GEORGANNA LEA BUSS (CFO)
(580) 774-4762
Entity
Organization
Contact information
Practice address
1220 N GLENN L ENGLISH ST, CORDELL, OK 73632-2010
(580) 832-3339
(580) 832-5076
Mailing address
1220 N GLENN L ENGLISH ST, CORDELL, OK 73632-2010
(580) 832-3339
(580) 832-5076
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
2221
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000370186001
BCBS OF OKLAHOMA
OK
05
—
100819200A
—
OK
05
—
100819200B
—
OK
Enumeration date
06/27/2005
Last updated
03/03/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us