Organization
CRAIG COUNTY HOSPITAL AUTHORITY
Active
Parent organization
CRAIG COUNTY HOSPITAL AUTHORITY
Other names
GRAND LAKE MEDICAL PARK - LANGLEY
Organization subpart
Yes
Provider details
NPI number
Legal business name
CRAIG COUNTY HOSPITAL AUTHORITY
Authorized official
MR. HERBERT F. CRUM JR. (CEO)
(918) 256-7551
Entity
Organization
Contact information
Practice address
36488 S HIGHWAY 82, VINITA, OK 74301-7438
(918) 782-1881
(918) 782-4266
Mailing address
PO BOX 326, VINITA, OK 74301
(918) 782-1881
(918) 782-4266
Taxonomy
Speciality
Code
Description
License number
State
282NR1301X
Rural Acute Care Hospital
Primary
2182
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100261400L
—
OK
Enumeration date
06/15/2006
Last updated
03/03/2015
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