Mayes County Hmpn, LLC

NPI #1316293020 in Pryor, Oklahoma

Provider Information

NPI Number: 1316293020
Entity Type: Organization
Organization Name: Mayes County Hmpn, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: HEALTH MANAGEMENT ASSOCIATES, INC.
Primary Specialty: Family Medicine
Enumeration Date: Jul 31, 2012
Last Updated: Nov 27, 2012

Practice Location

Address: 1301 NE 1ST ST
Address 2: SUITE 400
City: Pryor
State: Oklahoma
ZIP Code: 74361-8850
Phone: (918) 824-7714

Authorized Official

Name: MR. MICHAEL L GINGRAS
Title: VICE PRESIDENT
Phone: (239) 598-3131

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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