Organization
CORDELL MEMORIAL HOSPITAL 0189
Active
Other names
Cordell Hospital Authority dba Cordell Memorial Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGANNA LEA BUSS (CFO)
(580) 774-4762
Entity
Organization
Contact information
Practice address
1220 N GLENN L ENGLISH ST, CORDELL, OK 73632-2010
(580) 832-3339
(580) 832-5076
Mailing address
1220 N GLENN L ENGLISH ST, CORDELL, OK 73632-2010
(580) 832-3339
(580) 832-5076
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
2221
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000370186001
BCBS OF OKLAHOMA
OK
05
—
100819200A
—
OK
05
—
100819200B
—
OK
Enumeration date
05/24/2005
Last updated
03/03/2025
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