Organization
SEQUOYAH COUNTY CITY OF SALLISAW HOSPITAL AUTHORITY
Active
Parent organization
SEQUOYAH COUNTY CITY OF SALLISAW HOSPITAL AUTHORITY
Other names
Sequoyah Memorial Hospital Physical Therapy
Organization subpart
Yes
Provider details
NPI number
Legal business name
SEQUOYAH COUNTY CITY OF SALLISAW HOSPITAL AUTHORITY
Authorized official
CHARLES E. WADE (CEO)
(918) 774-1100
Entity
Organization
Contact information
Practice address
213 E REDWOOD AVE, SALLISAW, OK 74955-2811
(918) 774-1100
(918) 774-1103
Mailing address
213 E REDWOOD AVE, PO BOX 505, SALLISAW, OK 74955-2811
(918) 774-1100
(918) 774-1103
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
7189
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100700190Q
—
OK
Enumeration date
02/21/2008
Last updated
05/23/2008
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