Organization
COUNTY OF TILLMAN-CITY OF FREDERICK HOSPITAL AUTHORITY
Active
Other names
Memorial Hospital & Physician Group
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA HART (CFO)
(580) 335-7565
Entity
Organization
Contact information
Practice address
319 E JOSEPHINE AVE, FREDERICK, OK 73542-2220
(580) 335-7565
(580) 335-7329
Mailing address
319 E JOSEPHINE AVE, FREDERICK, OK 73542-2220
(580) 335-7565
(580) 335-7329
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
2213
OK
Other
Enumeration date
03/20/2007
Last updated
04/02/2012
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