Organization
MIDWEST REGIONAL MEDICAL CENTER, LLC
Active
Other names
Alliancehealth Midwest
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA LALOR (DIRECTOR)
(615) 925-4565
Entity
Organization
Contact information
Practice address
2825 PARKLAWN DR, MIDWEST CITY, OK 73110-4201
(405) 610-4411
Mailing address
2825 PARKLAWN DR, MIDWEST CITY, OK 73110-4201
(405) 610-4411
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
—
282N00000X
General Acute Care Hospital
Primary
2293
OK
341600000X
Ambulance
2293
OK
3416L0300X
Land Ambulance
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000370094001
BLUE CROSS (HOSPITAL)
OK
05
—
100700490A
—
OK
01
—
730721827001
BLUE CROSS (AMBULANCE)
OK
Enumeration date
06/05/2006
Last updated
05/02/2019
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