Blackwell Hospital Trust Authority

NPI #1629529771 in Blackwell, Oklahoma

Provider Information

NPI Number: 1629529771
Entity Type: Organization
Organization Name: Blackwell Hospital Trust Authority
Subpart: Yes (part of a larger organization)
Parent Organization: BLACKWELL HOSPITAL TRUST AUTHORITY
Primary Specialty: Home Health
Enumeration Date: Oct 24, 2016
Last Updated: Oct 24, 2016

Practice Location

Address: 710 S 13TH ST
City: Blackwell
State: Oklahoma
ZIP Code: 74631-3700
Phone: (580) 363-2311

Authorized Official

Name: DOUG BLESSEN
Title: INTERIM CEO
Phone: (580) 363-2311

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X	Primary

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