Organization
KAY COUNTY OKLAHOMA HOSPITAL COMPANY LLC
Active
Other names
Alliancehealth Clinic Ponca City
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA LALOR (DIRECTOR/DELEGATED OFFICIAL)
(629) 215-3953
Entity
Organization
Contact information
Practice address
1908 N 14TH ST STE 203, PONCA CITY, OK 74601-2039
(580) 718-4501
(580) 718-4581
Mailing address
1908 N 14TH ST STE 203, PONCA CITY, OK 74601-2039
(580) 718-4501
(580) 718-4581
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
2273
OK
Other
Enumeration date
04/20/2017
Last updated
04/08/2021
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