Organization
WATONGA HOSPITAL TRUST AUTHORITY
Active
Other names
Watonga Municipal Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA A TALLANT (ADMINISTRATOR)
(580) 623-7211
Entity
Organization
Contact information
Practice address
500 N CLARENCE NASH BLVD, WATONGA, OK 73772-2845
(580) 623-7211
(580) 623-7405
Mailing address
500 N CLARENCE NASH BLVD, PO BOX 370, WATONGA, OK 73772-2845
(580) 623-7211
(580) 623-7405
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
2214
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000370005001
BLUE CROSS BLUE SHIELD
OK
05
—
100200710A
—
OK
05
—
100700210E
—
OK
05
—
700700210C
—
OK
Enumeration date
06/07/2006
Last updated
08/24/2011
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