Organization
WOODWARD HEALTH SYSTEM LLC
Active
Parent organization
WOODWARD HEALTH SYSTEM LLC
Other names
AllianceHealth Woodward Clinics
Organization subpart
Yes
Provider details
NPI number
Legal business name
WOODWARD HEALTH SYSTEM LLC
Authorized official
PAULA LALOR (DIRECTOR/DELEGATED OFFICIAL)
(629) 215-3953
Entity
Organization
Contact information
Practice address
1818 KANSAS AVE, WOODWARD, OK 73801-2912
(580) 254-3396
(580) 254-5311
Mailing address
900 17TH ST, WOODWARD, OK 73801-2448
(580) 256-5511
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200019120I
—
OK
Enumeration date
07/18/2012
Last updated
04/26/2021
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