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NPI Code Detail

MEDICARE: WOODWARD HEALTH SYSTEM LLC

MEDICARE: WOODWARD HEALTH SYSTEM LLC
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
1261QR1300XRural Health Clinic/Center

General Provider Information

NPI Number : 1326393513
Entity Type Code : Organization
Provider Name (Legal Business Name) : WOODWARD HEALTH SYSTEM LLC
Provider Business Mailing Address
First Line : 900 17TH ST
Second Line :
City : WOODWARD
State : OK
Zip : 73801-2448
Country : US
Telephone Number : 580-256-5511
Fax Number :
Provider Business Practice Location Address
First Line : 1101 HILLCREST DR
Second Line :
City : WOODWARD
State : OK
Zip : 73801-3027
Country : US
Telephone Number : 580-256-3608
Fax Number : 580-256-3624
Authorized Official
Title or Position : DIRECTOR/DELEGATED OFFICIAL
Name : PAULA LALOR
Credential :
Telephone Number : 629-215-3953
Provider Enumeration Date : 07/13/2012
Last Update Date : 04/26/2021

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Directions to “WOODWARD HEALTH SYSTEM LLC ” Practice Location

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