Organization
BLACKWELL HOSPITAL TRUST AUTHORITY
Active
Other names
Blackwell Hospital Physicians Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN TAYLOR (CEO)
(580) 363-2311
Entity
Organization
Contact information
Practice address
706 S 13TH ST STE C, BLACKWELL, OK 74631-3705
(580) 363-2311
Mailing address
PO BOX 720402, NORMAN, OK 73070-4296
(580) 363-2311
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/13/2018
Last updated
08/13/2018
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