CORDELL MEMORIAL HOSPITAL 0189 NPI 1598117137

NPI Information

NPI: 1598117137
Provider Name: CORDELL MEMORIAL HOSPITAL 0189

Other Name: CORDELL FAMILY CLINIC

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

Specialization: Rural Health

Address:
1200 N GLENN L ENGLISH ST
CORDELL, OK
ZIP 73632
Phone: (580) 832-3838
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CORDELL MEMORIAL HOSPITAL 0189 is a rural health clinic center in Cordell, OK. CORDELL MEMORIAL HOSPITAL 0189 NPI is 1598117137. The provider is registered as an organization entity type.
The provider Other Name Is Cordell Family Clinic.

The provider's business location address is:

1200 N GLENN L ENGLISH ST
CORDELL, OK
ZIP 73632-015
Phone: (580) 832-3838
Fax: (580) 832-5119

The provider's authorized official is Georganna Lea Buss .
The authorized official title is Cfo and has the following contact phone number (580) 774-4762.

The CLIA number assigned to this NPI record is 37D0472395 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/7/2016 and was last updated on 2/17/2022.

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	261Q00000X	Clinic/Center		2221	OKLAHOMA	No
2	261QR1300X	Clinic/Center	Rural Health	2221	OKLAHOMA	Yes

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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