Organization
GROVE GENERAL HOSPITAL
Active
Organization
GROVE GENERAL HOSPITAL
Active
Other names
Integris Grove General Hospital Anesthesia Department
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREG MARTIN (ADMINISTRATOR)
(918) 786-2243
Entity
Organization
Contact information
Practice address
1001 E 18TH ST, GROVE, OK 74344-2907
(918) 787-8980
(918) 787-6052
Mailing address
PO BOX 6808, GROVE, OK 74344-6808
(918) 787-8980
(918) 787-6052
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100699700M
—
OK
Enumeration date
02/20/2009
Last updated
01/25/2010
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