Organization
MCCURTAIN MEMORIAL MEDICAL MANAGEMENT, INC.
Active
Other names
McCurtain Memorial Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
RAY B. WHITMORE JR. (CFO)
(580) 208-3104
Entity
Organization
Contact information
Practice address
1301 E LINCOLN RD, IDABEL, OK 74745-7300
(580) 208-3100
(580) 208-3199
Mailing address
1301 E LINCOLN RD, IDABEL, OK 74745-7300
(580) 208-3100
(580) 208-3199
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
251E00000X
Home Health Agency
7071
OK
261QE0002X
Emergency Care Clinic/Center
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QR0200X
Radiology Clinic/Center
—
—
273R00000X
Psychiatric Hospital Unit
2202
OK
275N00000X
Medicare Defined Swing Bed Hospital Unit
2202
OK
282NR1301X
Rural Acute Care Hospital
Primary
2202
OK
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100700920A
—
OK
05
—
100700920B
—
OK
05
—
100700920H
—
OK
01
—
9R049
BCBS AR
—
01
—
CD0496
RAILROAD MEDICARE
OK
Enumeration date
05/16/2006
Last updated
08/06/2009
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