Organization
REYNOLDS ARMY COMMUNITY HOSPITAL
Active
Parent organization
REYNOLDS ARMY COMMUNITY HOSPITAL
Other names
FRONTIER MEDICAL HOME-SILL
Organization subpart
Yes
Provider details
NPI number
Legal business name
REYNOLDS ARMY COMMUNITY HOSPITAL
Authorized official
CHARLES CHITTUM (UBO MANAGER)
(580) 558-2793
Entity
Organization
Contact information
Practice address
5404 SW LEE BLVD, FRONTIER MEDICAL HOME-SILL, LAWTON, OK 73505-9695
(580) 558-2800
Mailing address
3009 NW WILSON STREET, ATTN MCUA-PAD-PF - BILLING OFFICE, FORT SILL, OK 73503
(580) 458-2793
Taxonomy
Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1487752960
PARENT FACILITY NPI 2
—
Enumeration date
06/03/2010
Last updated
02/26/2014
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