Organization
COAL COUNTY GENERAL HOSPITAL
Active
Parent organization
COAL COUNTY GENERAL HOSPITAL
Other names
Helton Rural Health Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
COAL COUNTY GENERAL HOSPITAL
Authorized official
TRENT BOURLAND (CEO)
(580) 927-2327
Entity
Organization
Contact information
Practice address
108 W OHIO AVE, COALGATE, OK 74538-2827
(580) 927-2337
(580) 927-9941
Mailing address
PO BOX 326, COALGATE, OK 74538-0326
(580) 927-2334
(580) 927-9941
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261Q00000X
Clinic/Center
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100774650J
—
OK
Enumeration date
12/02/2022
Last updated
02/20/2023
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