Organization
THREE RIVERS SURGICAL CARE LP
Active
Other names
HEALTHSOUTH SURGERY CENTER OF MUSKOGEE, L.P.
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD L SHARFF JR. (VP/SECRETARY)
(205) 545-2572
Entity
Organization
Contact information
Practice address
3800 W OKMULGEE ST, MUSKOGEE, OK 74401-4933
(918) 682-9899
Mailing address
3800 W OKMULGEE ST, MUSKOGEE, OK 74401-4933
(918) 682-9899
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0041
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100726430A
—
OK
Enumeration date
04/21/2006
Last updated
06/01/2009
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