Organization
CRAIG COUNTY HOSPITAL AUTHORITY
Active
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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up