Organization
KAY COUNTY OKLAHOMA HOSPITAL COMPANY, LLC
Active
Parent organization
KAY COUNTY OKLAHOMA HOSPITAL COMPANY, LLC
Other names
AllianceHealth Ponca City
Organization subpart
Yes
Provider details
NPI number
Legal business name
KAY COUNTY OKLAHOMA HOSPITAL COMPANY, LLC
Authorized official
PAULA M LALOR (DIRECTOR/DELEGATED OFFICIAL)
(629) 215-3953
Entity
Organization
Contact information
Practice address
1900 N 14TH ST, PONCA CITY, OK 74601-2035
(580) 765-3321
Mailing address
PO BOX 504295, SAINT LOUIS, MO 63150-4295
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
2273
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100699420A
—
OK
Enumeration date
06/07/2006
Last updated
04/08/2021
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