Wagoner Hospital Authority

LBN: Wagoner Hospital Authority
Wagoner Hospital Authority is an health care organization with primary practice located at 1202 W Cherokee St Ste E , Wagoner OK 74467-4629. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Rural Health, Ambulatory Health Care Facilities / Urgent Care, Hospitals / General Acute Care Hospital. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty. Wagoner Hospital Authority can be contacted via phone (918) 485-1877, or through Brown, Judith Elizabeth via phone (918) 485-1297.

Contact Information

Primary practice address
1202 W Cherokee St Ste E Wagoner OK 74467-4629
Phone: (918) 485-1877
Fax: (918) 485-0535
Website:
Map and Directions
Authorized official contact:
Name: Brown, Judith Elizabeth
Phone: (918) 485-1297

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X
Ambulatory Health Care Facilities / Urgent Care 261QU0200X 2298 Oklahoma
Hospitals / General Acute Care Hospital 282N00000X 2298 Oklahoma

Profile Details

NPI number 1366674772
LBN Legal business name Wagoner Hospital Authority
DBA Doing business as
Authorized official Brown, Judith Elizabeth
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 18th, 2009
Last updated Apr 27th, 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 1366674772 NPPES
Oklahoma Other 200100890B MEDICAID HOSPITAL BILLING #
Oklahoma MEDICAID 200100890C MEDICAID HOSPITAL BILLING #
Oklahoma Other 300522264 MEDICAID HOSPITAL BILLING #
Oklahoma MEDICAID 200100890A MEDICAID HOSPITAL BILLING #

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