Organization
GRADY MEMORIAL HOSPITAL
Active
Other names
Rush Springs Family Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE PAUTLER (CEO)
(405) 779-2150
Entity
Organization
Contact information
Practice address
113 SOUTH RUSH AVE, RUSH SPRINGS, OK 73082-0277
(580) 476-2527
(580) 476-3707
Mailing address
2220 W IOWA AVE, CHICKASHA, OK 73018-2738
(405) 224-2300
(405) 779-2413
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100700820G
—
OK
Enumeration date
07/01/2006
Last updated
01/06/2026
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