Organization
WAGONER HOSPITAL AUTHORITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBI HAMILTON (CHAIRMAN)
(918) 485-5514
Entity
Organization
Contact information
Practice address
1200 W CHEROKEE ST, WAGONER, OK 74467-4624
(918) 485-5514
(918) 485-9701
Mailing address
1200 W CHEROKEE ST, WAGONER, OK 74467-4624
(918) 485-5514
(918) 485-9701
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
2298
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200100890A
MEDICAID PROVIDER NUMBER FOR PHYSICIAN BILLING
OK
05
—
200100890B
—
OK
01
—
300522264
MEDICARE CLINIC PROVIDER NUMBER
OK
Enumeration date
03/07/2006
Last updated
04/27/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us