Organization
PAULS VALLEY GENERAL HOSPITAL
Active
Parent organization
PAULS VALLEY GENERAL HOSPITAL
Other names
PAULS VALLEY PHYSICIANS CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PAULS VALLEY GENERAL HOSPITAL
Authorized official
PATRICIA CHAPMAN WEAVER (BUSINESS OFFICE EXEC)
(405) 238-5501
Entity
Organization
Contact information
Practice address
100 VALLEY DR, PAULS VALLEY, OK 73075
(405) 238-5501
(405) 238-5396
Mailing address
100 VALLEY DR, PAULS VALLEY, OK 73075-6613
(405) 238-5501
(405) 238-5396
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R40858
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200276050A
—
OK
01
—
P37015601
MEDICARE PTAN
OK
Enumeration date
02/04/2010
Last updated
07/24/2018
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