Organization
HEALDTON MUNICIPAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICKLIN PACK (ADMINISTRATOR)
(580) 229-0701
Entity
Organization
Contact information
Practice address
918 S 8TH ST, HEALDTON, OK 73438-2424
(580) 229-0701
(580) 229-1454
Mailing address
918 S 8TH ST, HEALDTON, OK 73438-2424
(580) 229-0701
(580) 229-1454
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
2346
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000373456001
OK BCBS 12 DIGIT #
OK
Enumeration date
08/08/2006
Last updated
08/22/2020
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