Organization
MEMORIAL HOSPITAL & PHYSICIAN'S GROUP HOME HEALTH CARE
Active
Parent organization
MEMORIAL HOSPITAL & PHYSICIAN'S GROUP HOME HEALTH CARE
Other names
County of Tillman-City of Frederick Memorial Hospital
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEMORIAL HOSPITAL & PHYSICIAN'S GROUP HOME HEALTH CARE
Authorized official
MRS. NATALIE ANN HILBURN (HOME HEALTH OFFICE MANAGER)
(580) 335-6631
Entity
Organization
Contact information
Practice address
319 E JOSEPHINE AVE, FREDERICK, OK 73542-2220
(580) 335-7565
(580) 335-7325
Mailing address
319 E. JOSEPHINE, FREDERICK, OK 73542
(580) 335-6631
(580) 335-6607
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
7746
OK
164W00000X
Licensed Practical Nurse
7746
OK
376J00000X
Homemaker
7746
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100700940F
—
OK
05
—
100700940G
—
OK
Enumeration date
03/27/2007
Last updated
08/11/2008
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