Organization
PUSHMATAHA COUNTY HOSPITAL AUTHORITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CALETT MARIE MORRIS RN (ADMINISTRATOR HOME HEALTH)
(580) 298-5523
Entity
Organization
Contact information
Practice address
510 E MAIN ST, ANTLERS, OK 74523-3262
(580) 298-5523
(580) 298-5545
Mailing address
510 E MAIN ST, ANTLERS, OK 74523-3262
(580) 298-5523
(580) 298-5545
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
7049
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100700770D
—
OK
05
—
100700770G
—
OK
Enumeration date
07/26/2006
Last updated
02/10/2012
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