Organization
W W HASTINGS INDIAN HOSPITAL
Active
Parent organization
W W HASTINGS INDIAN HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
W W HASTINGS INDIAN HOSPITAL
Authorized official
MR. EDWIN L MCLEMORE (CHIEF EXECUTIVE OFFICER)
(918) 458-3100
Entity
Organization
Contact information
Practice address
100 S BLISS AVE, TAHLEQUAH, OK 74464-2512
(918) 458-3100
(918) 458-3628
Mailing address
PO BOX 676967, DALLAS, TX 75267-6967
(918) 458-3100
(918) 458-3628
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
05/20/2008
Last updated
01/21/2009
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