LOGAN HOSPITAL AND MEDICAL CENTER AUTHORITY NPI 1497753487

NPI Information

NPI: 1497753487
Provider Name: LOGAN HOSPITAL AND MEDICAL CENTER AUTHORITY

Doing Business As: CENTER FOR INTERNAL MEDICINE AND PEDIATRICS - CRESCENT

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
400 S GRAND
CRESCENT, OK
ZIP 73028
Phone: (405) 969-2818
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LOGAN HOSPITAL AND MEDICAL CENTER AUTHORITY is a rural health clinic center in Crescent, OK. LOGAN HOSPITAL AND MEDICAL CENTER AUTHORITY NPI is 1497753487. The provider is registered as an organization entity type.
The provider Is Doing Business As Center For Internal Medicine And Pediatrics - Crescent.

The provider's business location address is:

400 S GRAND
CRESCENT, OK
ZIP 73028
Phone: (405) 969-2818

The provider's authorized official is Steve Rowley .
The authorized official title is Ceo and has the following contact phone number (405) 260-4191.

The enumeration date for this NPI number is 7/13/2005 and was last updated on 11/15/2007.

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
1	261QR1300X	Clinic/Center	Rural Health	2267	OKLAHOMA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier Issuer
1	L37012101	MEDICARE PIN
2	CD8588	OTHER	RAILROAD MEDICARE
3	37-3990	MEDICARE ID-TYPE UNSPECIFIED

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

NPI Synchronization or Removal

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