1508368085 NPI number — STILLWATER MEDICAL CENTER AUTHORITY

Table of content: (NPI 1508368085)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1508368085 NPI number — STILLWATER MEDICAL CENTER AUTHORITY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
STILLWATER MEDICAL CENTER AUTHORITY
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1508368085
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/15/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 720006
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NORMAN
Provider Business Mailing Address State Name:
OK
Provider Business Mailing Address Postal Code:
73070-4006
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
405-533-6057
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
501 N 14TH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PERRY
Provider Business Practice Location Address State Name:
OK
Provider Business Practice Location Address Postal Code:
73077-5021
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
580-336-3541
Provider Business Practice Location Address Fax Number:
580-336-7209
Provider Enumeration Date:
03/01/2018

Additional Information

Authorized Official

Authorized Official Last Name:
WEBBER
Authorized Official First Name:
DENISE
Authorized Official Middle Name:
ADRIENNE
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
405-742-5230

Provider Taxonomy Codes

  • Taxonomy code: 275N00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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