MEDICARE: PREFERRED HOSPITAL LEASING JUNCTION, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QA1903X	Ambulatory Surgical Clinic/Center
2	282NC0060X	Critical Access Hospital	100014	TX

General Provider Information

NPI Number	:	1164688495
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PREFERRED HOSPITAL LEASING JUNCTION, INC

Provider Business Mailing Address
First Line	:	120 W MACARTHUR ST
Second Line	:	SUITE 121
City	:	SHAWNEE
State	:	OK
Zip	:	74804-2007
Country	:	US
Telephone Number	:	405-878-0202
Fax Number	:	405-273-6007

Provider Business Practice Location Address
First Line	:	349 REID RD
Second Line	:
City	:	JUNCTION
State	:	TX
Zip	:	76849-3049
Country	:	US
Telephone Number	:	325-446-3321
Fax Number	:	325-446-3769

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DONALD A FREEMAN
Credential	:
Telephone Number	:	405-878-0202

Provider Enumeration Date	:	08/06/2008
Last Update Date	:	12/12/2025

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