Organization
KAY COUNTY OKLAHOMA HOSPITAL COMPANY LLC
Active
Other names
AllianceHealth Ponca City
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA M LALOR (DIRECTOR/DELEGATED OFFICIAL)
(629) 215-3953
Entity
Organization
Contact information
Practice address
1900 N 14TH ST, PONCA CITY, OK 74601-2035
(580) 765-3321
Mailing address
PO BOX 504295, SAINT LOUIS, MO 63150-4295
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
2273
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100699420A
—
OK
Enumeration date
06/06/2006
Last updated
08/30/2023
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