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Organization

JANE PHILLIPS NOWATA HEALTH CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JASON RUSSELL MCCAULEY (ADMINISTRATOR)
(918) 273-3102
Entity
Organization

Contact information

Practice address
237 S. LOCUST, NOWATA, OK 74048-0426
(918) 273-3102
(918) 273-5490
Mailing address
237 S. LOCUST, NOWATA, OK 74048-0426
(918) 273-3102
(918) 273-5490

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
2187
OK
282NC0060X
Critical Access Hospital
2187
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100700460A
OK
Enumeration date
12/30/2005
Last updated
04/12/2021
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