Organization
RHA TISHOMINGO LLC
Active
Other names
Johnston Memorial Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL SCHUSTER (CEO)
(405) 917-0300
Entity
Organization
Contact information
Practice address
1000 SOUTH BYRD, TISHOMINGO, OK 73460-3265
(580) 371-2327
(580) 371-2127
Mailing address
PO BOX 12932, OKLAHOMA CITY, OK 73157-2932
(877) 238-2363
(405) 917-0331
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
2283
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200039650A
—
OK
05
—
200039650B
—
OK
Enumeration date
05/04/2006
Last updated
07/17/2009
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