Organization
WOODWARD HEALTH SYSTEM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE T BREWER MBA (DIRECTOR PROVIDER ENROLLMENT)
(877) 892-9813
Entity
Organization
Contact information
Practice address
900 17TH ST, WOODWARD, OK 73801-2448
(580) 256-5511
Mailing address
PO BOX 555, WOODWARD, OK 73802
(580) 256-5511
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
208600000X
Surgery Physician
—
—
261Q00000X
Clinic/Center
2252
OK
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20001920C
—
OK
Enumeration date
05/18/2006
Last updated
03/14/2008
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