Organization
COAL COUNTY GENERAL HOSPITAL
Active
Parent organization
COAL COUNTY GENERAL HOSPITAL
Other names
ABC Medical Clinic of Atoka, Eastern Oklahoma Health Clinic of Atoka
Organization subpart
Yes
Provider details
NPI number
Legal business name
COAL COUNTY GENERAL HOSPITAL
Authorized official
TRENT BOURLAND (CEO)
(580) 927-2327
Entity
Organization
Contact information
Practice address
1668 W LIBERTY RD, ATOKA, OK 74525-1703
(580) 889-3355
(580) 889-5272
Mailing address
PO BOX 326, COALGATE, OK 74538-0326
(580) 927-2327
(580) 927-2439
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100774650H
—
OK
Enumeration date
02/17/2023
Last updated
10/12/2023
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