Organization
DURANT HMA LLC
Active
Other names
AllianceHealth Durant
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA M LALOR (DIRECTOR/DELEGATED OFFICIAL)
(629) 215-3953
Entity
Organization
Contact information
Practice address
1800 W UNIVERSITY BLVD, DURANT, OK 74701-3006
(580) 924-3080
(580) 924-0422
Mailing address
1800 W UNIVERSITY BLVD, DURANT, OK 74701-3006
(580) 924-3080
(580) 924-0422
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
2200
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000370014001
BLUE CROSS
OK
05
—
100696610B
—
OK
Enumeration date
06/05/2006
Last updated
04/01/2021
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