Organization
STILLWATER MEDICAL CENTER AUTHORITY
Active
Other names
Stillwater Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY MOELLER (CEO)
(405) 742-5701
Entity
Organization
Contact information
Practice address
1323 W 6TH AVE, STILLWATER, OK 74074-4306
(405) 372-1480
Mailing address
1323 W 6TH AVE, STILLWATER, OK 74074-4306
(405) 372-1480
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
2272
OK
Other
Enumeration date
02/07/2006
Last updated
08/22/2020
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