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Organization

HEALDTON MUNICIPAL HOSPITAL (SNF)

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JEREMY ALLEN JONES (ADMINISTRATOR)
(580) 229-0701
Entity
Organization

Contact information

Practice address
918 S 8TH ST, HEALDTON, OK 73438-2424
(580) 229-0701
(580) 229-1454
Mailing address
918 S 8TH ST, HEALDTON, OK 73438-2424
(580) 229-0701
(580) 229-1454

Taxonomy

Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
2346
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000373456001
OK BCBS 12-DIGIT #
OK
05
100748330C
OK
Enumeration date
08/09/2006
Last updated
10/30/2012
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