Organization
COAL COUNTY GENERAL HOSPITAL
Active
Other names
MARY HURLEY HOSPITAL
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TRENT A. BOURLAND (CEO)
(580) 927-2327
Entity
Organization
Contact information
Practice address
6 N COVINGTON ST, COALGATE, OK 74538-2002
(580) 927-2327
(580) 927-2499
Mailing address
PO BOX 326, COALGATE, OK 74538-0326
(580) 927-2327
(580) 927-9926
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100774650D
—
OK
Enumeration date
02/11/2008
Last updated
07/07/2020
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