Organization
JANE PHILLIPS MEMORIAL MEDICAL CENTER, INC.
Active
Other names
Jane Phillips Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE A. MOORE (CFO)
(918) 331-1644
Entity
Organization
Contact information
Practice address
3500 STATE ST, BARTLESVILLE, OK 74006-2932
(918) 333-7200
(918) 331-1447
Mailing address
3500 STATE ST, BARTLESVILLE, OK 74006-2932
(918) 333-7200
(918) 331-1447
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
2190
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100699490 I
—
OK
Enumeration date
02/19/2007
Last updated
05/21/2008
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