Organization
CRAIG COUNTY HOSPITAL AUTHORITY
Active
Parent organization
CRAIG COUNTY HOSPITAL AUTHORITY
Other names
Grand Lake Medical Park - Monkey Island
Organization subpart
Yes
Provider details
NPI number
Legal business name
CRAIG COUNTY HOSPITAL AUTHORITY
Authorized official
MR. HERBERT F. CRUM JR. (CHIEF EXECUTIVE OFFICER)
(918) 256-7551
Entity
Organization
Contact information
Practice address
26300 S HIGHWAY 125, AFTON, OK 74331-6282
(918) 257-8585
(918) 257-8560
Mailing address
PO BOX 326, VINITA, OK 74301-0326
(918) 256-7551
(918) 256-3703
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
2182
OK
282NR1301X
Rural Acute Care Hospital
2182
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100261400K
—
OK
Enumeration date
03/07/2008
Last updated
03/03/2015
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