Organization
BLACKWELL HOSPITAL TRUST AUTHORITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOYCE DANIEL (CEO)
(580) 363-2311
Entity
Organization
Contact information
Practice address
710 S 13TH ST, BLACKWELL, OK 74631-3700
(580) 363-2311
Mailing address
PO BOX 720402, NORMAN, OK 73070-4296
(405) 533-6057
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2281
OK
207Q00000X
Family Medicine Physician
2281
OK
207R00000X
Internal Medicine Physician
Primary
2281
OK
207RC0000X
Cardiovascular Disease Physician
2281
OK
207V00000X
Obstetrics & Gynecology Physician
2281
OK
207X00000X
Orthopaedic Surgery Physician
2281
OK
208600000X
Surgery Physician
2281
OK
208M00000X
Hospitalist Physician
2281
OK
363A00000X
Physician Assistant
2281
OK
363L00000X
Nurse Practitioner
2281
OK
Other
Enumeration date
01/12/2018
Last updated
01/12/2018
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