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Wagoner Hospital Authority
Clinic/Center in Muskogee, Oklahoma
NPI 1568808988

Wagoner Hospital Authority is a Clinic/Center based in Wagoner, OK. Wagoner Hospital Authority practices in Muskogee, OK. The NPI Number for Wagoner Hospital Authority is 1568808988 and holds a License No. 2298 (Oklahoma).

The current practice location address for Wagoner Hospital Authority is 3501 W Broadway St, Muskogee, OK and can be reached out via phone at 918-913-9408.

Location: 3501 W Broadway St, Muskogee, OK, 74467-4624
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1568808988
Provider Name
Wagoner Hospital Authority
Credential
Provider Entity Type
Organization
Address
3501 W Broadway St, Muskogee, OK, 74467-4624
Phone Number
918-913-9408
Fax Number
Provider Enumeration Date
05/13/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
300522264 01 MEDICARE CLINIC PROVIDER NUMBER
200100890B 05 OK
200100890A 05 OK
institution
Provider Business Practice Location Address Details
Address
3501 W Broadway St
City
Muskogee
State
Oklahoma
Zip
74401-2138
Phone Number
918-913-9408
Fax Number
person
Provider Business Mailing Address Details
Address
3501 W Broadway St
City
Muskogee
State
Oklahoma
Zip
74401-2138
Phone Number
918-913-9408
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
2298 (Oklahoma)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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