Organization
JANE PHILLIPS MEMORIAL MEDICAL CENTER, INC.
Active
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
Update your record
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