Organization
GREAT SALT PLAINS HEALTH CENTER, INC.
Active
Organization
GREAT SALT PLAINS HEALTH CENTER, INC.
Active
Parent organization
GREAT SALT PLAINS HEALTH CENTER
Other names
GSP Health Medford
Organization subpart
Yes
Provider details
NPI number
Legal business name
GREAT SALT PLAINS HEALTH CENTER
Authorized official
TIM STARKEY (CEO)
(580) 596-2800
Entity
Organization
Contact information
Practice address
619 FRONT STREET, MEDFORD, OK 73759-1209
(580) 395-3200
(580) 596-2805
Mailing address
405 S OKLAHOMA AVE, CHEROKEE, OK 73728-2545
(580) 596-2800
(580) 596-2805
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
—
—
207VG0400X
Gynecology Physician
—
—
2080A0000X
Pediatric Adolescent Medicine Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
09/14/2012
Last updated
09/22/2020
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