Organization
COAL COUNTY GENERAL HOSPITAL
Active
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) 927-2432
Mailing address
PO BOX 326, COALGATE, OK 74538-0326
(580) 927-2327
(580) 927-2439
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
2201
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100774650C
—
OK
Enumeration date
11/30/2006
Last updated
12/05/2022
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