Prague Memorial Regional Hospital

LBN: Prague Healthcare Authority
Prague Memorial Regional Hospital is an health care organization with primary practice located at 1322 Klabzuba Avenue , Prague OK 74864. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Hospitals / Critical Access. Allopathic & Osteopathic Physicians / Emergency Medicine is the primary health care specialty. Prague Healthcare Authority can be contacted via phone (405) 567-4922, or through Dyer, Dianne M via phone (405) 567-4922.

Contact Information

Primary practice address
1322 Klabzuba Avenue Prague OK 74864
Phone: (405) 567-4922
Fax: (405) 567-4290
Website:
Map and Directions
Authorized official contact:
Name: Dyer, Dianne M
Phone: (405) 567-4922

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X
Hospitals / Critical Access 282NC0060X 2164 Oklahoma

Profile Details

NPI number 1851537096
LBN Legal business name Prague Healthcare Authority
DBA Doing business as Prague Memorial Regional Hospital
Authorized official Dyer, Dianne M
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 17th, 2008
Last updated Apr 8th, 2021 - about 4 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 1851537096 NPPES
Oklahoma MEDICAID 200231400A

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