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Organization

REYNOLDS ARMY COMMUNITY HOSPITAL

Active
Parent organization
REYNOLDS ARMY COMMUNITY HOSPITAL
Other names
EBH TEAM A-SILL
Organization subpart
Yes

Provider details

NPI number
Legal business name
REYNOLDS ARMY COMMUNITY HOSPITAL
Authorized official
IRMIN TROCHE (UBO MANAGER)
(580) 558-8435
Entity
Organization

Contact information

Practice address
3445 KOEHLER LOOP, FORT SILL, OK 73503-6008
(580) 558-2800
Mailing address
3009 N.W. WILSON ROAD, ATTN MCUA-PAD-PF, FT SILL, OK 73503-9042
(580) 458-2793

Taxonomy

Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1487752960
PARENT NPI
Enumeration date
10/07/2015
Last updated
10/07/2015
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