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Prague Healthcare Authority
Rural Health Clinic/Center in Prague, Oklahoma
NPI 1881923290

Prague Healthcare Authority is a Rural Health Clinic/Center based in Prague, OK and is specialized in Rural Health. Prague Healthcare Authority practices in Prague, OK. The NPI Number for Prague Healthcare Authority is 1881923290 and holds a License No. 2164 (Oklahoma).

The current practice location address for Prague Healthcare Authority is 1322 Klabzuba Avenue, Prague, OK and can be reached out via phone at 405-567-4922 and via fax at 405-567-4290.

Location: 1322 Klabzuba Avenue, Prague, OK, 74864-1090
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1881923290
Provider Name
Prague Healthcare Authority
Credential
Provider Entity Type
Organization
Address
1322 Klabzuba Avenue, Prague, OK, 74864-1090
Phone Number
405-567-4922
Fax Number
405-567-4290
Provider Enumeration Date
12/14/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200231400C 05 OK
institution
Provider Business Practice Location Address Details
Address
1322 Klabzuba Avenue
City
Prague
State
Oklahoma
Zip
74864
Phone Number
405-567-4922
Fax Number
405-567-4290
person
Provider Business Mailing Address Details
Address
1322 Klabzuba Avenue
City
Prague
State
Oklahoma
Zip
74864
Phone Number
405-567-4922
Fax Number
405-567-4290
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
261QR1300X
License No.
2164 (Oklahoma)
Definition
Definition to come...
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