Organization
GRADY MEMORIAL HOSPITAL
Active
Other names
Professional Medical Services
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE PAUTLER (CEO)
(405) 779-2150
Entity
Organization
Contact information
Practice address
2220 W IOWA AVE, CHICKASHA, OK 73018-2738
(405) 779-2834
(405) 779-2143
Mailing address
2220 W IOWA AVE, CHICKASHA, OK 73018-2738
(405) 779-2834
(405) 779-2143
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
2232
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100700820D
—
OK
Enumeration date
01/10/2007
Last updated
01/06/2026
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