Organization
SEQUOYAH CITY COUNTY TRUST AUTHORITY
Active
Other names
Sequoyah Memorial Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES E. WADE (CEO)
(918) 774-1100
Entity
Organization
Contact information
Practice address
213 E REDWOOD AVE, SALLISAW, OK 74955-2811
(918) 774-1100
Mailing address
213 E REDWOOD AVE, PO BOX 505, SALLISAW, OK 74955-2811
(918) 774-1100
(918) 774-1143
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
344802
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
344802
INPATIENT PHARMACY
OK
Enumeration date
03/06/2007
Last updated
08/22/2020
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