Organization
MCALESTER REGIONAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID KEITH (CEO)
(918) 426-1800
Entity
Organization
Contact information
Practice address
2 E CLARK BASS BLVD, SUITE 300, MCALESTER, OK 74501-4282
(918) 421-6987
(918) 421-6698
Mailing address
1 E CLARK BASS BLVD, MCALESTER, OK 74501-4209
(918) 426-1800
(918) 421-6698
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OKA105715
MEDICARE PTAN
OK
Enumeration date
08/09/2013
Last updated
10/07/2014
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