Wagoner Hospital Authority

LBN: Wagoner Hospital Authority
Wagoner Hospital Authority is an health care organization with primary practice located at 3501 W Broadway St , Muskogee OK 74401-2138. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Wagoner Hospital Authority can be contacted via phone (918) 913-9408, or through Hamilton, Debi via phone (918) 485-5514.

Contact Information

Primary practice address
3501 W Broadway St Muskogee OK 74401-2138
Phone: (918) 913-9408
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hamilton, Debi
Phone: (918) 485-5514

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X 2298 Oklahoma

Profile Details

NPI number 1568808988
LBN Legal business name Wagoner Hospital Authority
DBA Doing business as
Authorized official Hamilton, Debi
Entity Organization
Organization subpart 1 Yes
Enumeration date May 13th, 2013
Last updated Mar 7th, 2018 - about 6 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 1568808988 NPPES
Other 300522264 MEDICARE CLINIC PROVIDER NUMBER
MEDICAID 200100890B MEDICARE CLINIC PROVIDER NUMBER
MEDICAID 200100890A MEDICARE CLINIC PROVIDER NUMBER

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