Organization
WATONGA INDIAN HEALTH CENTER
Active
Parent organization
LAWTON INDIAN HOSPITAL
Other names
WATONGA INDIAN HEALTH CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
LAWTON INDIAN HOSPITAL
Authorized official
MR. JOE BRYANT (CHIEF EXECUTIVE OFFICER)
(580) 331-3315
Entity
Organization
Contact information
Practice address
RR 1 BOX 34A, WATONGA, OK 73772-9706
(580) 623-4991
(580) 623-5490
Mailing address
RR 1 BOX 34A, WATONGA, OK 73772-9706
(580) 623-4991
(580) 623-5490
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200119860A
—
OK
Enumeration date
10/09/2006
Last updated
11/26/2019
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