Organization
STILLWATER MEDICAL CENTER AUTHORITY
Active
Other names
Blackwell Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE ADRIENNE WEBBER (CEO)
(405) 742-5230
Entity
Organization
Contact information
Practice address
706 S 13TH ST STE C, BLACKWELL, OK 74631-3705
(580) 363-9354
Mailing address
PO BOX 720006, NORMAN, OK 73070-4006
(405) 742-5300
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
04/06/2020
Last updated
04/06/2020
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