PRAGUE HEALTHCARE AUTHORITY NPI 1750527768

NPI Information

NPI: 1750527768
Provider Name: PRAGUE HEALTHCARE AUTHORITY

Doing Business As: PRAGUE MEMORIAL REGIONAL HOSPITAL

Classification: General Acute Care Hospital - 282NC0060X
Entity Type: Organization

Specialization: Critical Access

Address:
1322 KLABZUBA AVENUE
PRAGUE, OK
ZIP 74864
Phone: (405) 567-4922
Get Directions

PRAGUE HEALTHCARE AUTHORITY is a critical access general acute care hospital in Prague, OK. PRAGUE HEALTHCARE AUTHORITY NPI is 1750527768. The provider is registered as an organization entity type.
The provider Is Doing Business As Prague Memorial Regional Hospital.

The provider's business location address is:

1322 KLABZUBA AVENUE
PRAGUE, OK
ZIP 74864
Phone: (405) 567-4922
Fax: (405) 567-4290

The provider's authorized official is Dianne M Dyer .
The authorized official title is Revenue Cycle Manager and has the following contact phone number (405) 567-4922.

The CLIA number assigned to this NPI record is 37D2164592 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/22/2008 and was last updated on 12/27/2023.

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	282NC0060X	General Acute Care Hospital	Critical Access	2164	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 State	Other Provider Identifier Issuer
1	200231400B	MEDICAID	OKLAHOMA

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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