Wagoner Hospital Authority

NPI #1568808988 in Muskogee, Oklahoma

Provider Information

NPI Number: 1568808988
Entity Type: Organization
Organization Name: Wagoner Hospital Authority
Subpart: Yes (part of a larger organization)
Parent Organization: WAGONER HOSPITAL AUTHORITY
Primary Specialty: Clinic/Center
Enumeration Date: May 13, 2013
Last Updated: Mar 7, 2018

Practice Location

Address: 3501 W BROADWAY ST
City: Muskogee
State: Oklahoma
ZIP Code: 74401-2138
Phone: (918) 913-9408

Authorized Official

Name: DEBI HAMILTON
Title: CHAIRMAN
Phone: (918) 485-5514

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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