Organization
STILLWATER MEDICAL CENTER AUTHORITY
Active
Parent organization
STILLWATER MEDICAL CENTER AUTHORITY
Other names
Cimarron Medical Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
STILLWATER MEDICAL CENTER AUTHORITY
Authorized official
MR. ALAN LOVELACE (CFO)
(405) 377-9735
Entity
Organization
Contact information
Practice address
1200 S ADAMS ST, STILLWATER, OK 74074
(405) 377-9735
(405) 372-3890
Mailing address
1200 S ADAMS ST, STILLWATER, OK 74074-5477
(405) 377-9735
(405) 372-3890
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100699950B
—
OK
Enumeration date
10/18/2006
Last updated
04/12/2019
Update your record
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