Grand Lake Medical Park - Monkey Island

LBN: Craig County Hospital Authority
Grand Lake Medical Park - Monkey Island is an health care organization with primary practice located at 26300 S Highway 125 , Afton OK 74331-6282. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Hospitals / Rural. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty. Craig County Hospital Authority can be contacted via phone (918) 257-8585, or through Crum, Herbert F. via phone (918) 256-7551.

Contact Information

Primary practice address
26300 S Highway 125 Afton OK 74331-6282
Phone: (918) 257-8585
Fax: (918) 257-8560
Website:
Map and Directions
Authorized official contact:
Name: Crum, Herbert F.
Phone: (918) 256-7551

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X 2182 Oklahoma
Hospitals / Rural 282NR1301X 2182 Oklahoma

Profile Details

NPI number 1265602056
LBN Legal business name Craig County Hospital Authority
DBA Doing business as Grand Lake Medical Park - Monkey Island
Authorized official Crum, Herbert F.
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 7th, 2008
Last updated Mar 3rd, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265602056 NPPES
Oklahoma MEDICAID 100261400K

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