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BLACKWELL HOSPITAL TRUST AUTHORITY NPI 1356859342


NPI Information

NPI: 1356859342
Provider Name: BLACKWELL HOSPITAL TRUST AUTHORITY
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 37D2132981

Address:
710 S 13TH ST
BLACKWELL, OK
ZIP 74631
Phone: (580) 363-2311
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BLACKWELL HOSPITAL TRUST AUTHORITY is an internal medicine in Blackwell, OK. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. BLACKWELL HOSPITAL TRUST AUTHORITY NPI is 1356859342. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

710 S 13TH ST
BLACKWELL, OK
ZIP 74631-700
Phone: (580) 363-2311

The provider's authorized official is Joyce Daniel .
The authorized official title is Ceo and has the following contact phone number (580) 363-2311.

The CLIA number assigned to this NPI record is 37D2132981 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/12/2018 and was last updated on 1/12/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207L00000XAnesthesiology2281OKLAHOMANo
2207Q00000XFamily Medicine2281OKLAHOMANo
3207R00000XInternal Medicine2281OKLAHOMAYes
4207RC0000XInternal MedicineCardiovascular Disease2281OKLAHOMANo
5207V00000XObstetrics & Gynecology2281OKLAHOMANo
6207X00000XOrthopaedic Surgery2281OKLAHOMANo
7208600000XSurgery2281OKLAHOMANo
8208M00000XHospitalist2281OKLAHOMANo
9363A00000XPhysician Assistant2281OKLAHOMANo
10363L00000XNurse Practitioner2281OKLAHOMANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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