Organization
COAL COUNTY GENERAL HOSPITAL
Active
Other names
Mary Hurley Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
TRENT BOURLAND (CEO)
(580) 927-2327
Entity
Organization
Contact information
Practice address
6 N COVINGTON ST, COALGATE, OK 74538-2002
(580) 927-2327
(580) 927-2439
Mailing address
PO BOX 326, COALGATE, OK 74538-0326
(580) 927-2327
(580) 927-2439
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
2201
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007746500
—
OK
Enumeration date
07/18/2005
Last updated
11/29/2022
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