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NPI Code Detail

MEDICARE: WEATHERFORD HOSPITAL AUTHORITY

MEDICARE: WEATHERFORD HOSPITAL AUTHORITY
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
1282NC0060XCritical Access Hospital2219OK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
200370092001OTHEROKBCBS
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1346494275
Entity Type Code : Organization
Provider Name (Legal Business Name) : WEATHERFORD HOSPITAL AUTHORITY
Provider Business Mailing Address
First Line : 215 N KANSAS ST
Second Line :
City : WEATHERFORD
State : OK
Zip : 73096-5443
Country : US
Telephone Number : 580-772-5551
Fax Number : 580-774-2314
Provider Business Practice Location Address
First Line : 3701 E MAIN ST
Second Line :
City : WEATHERFORD
State : OK
Zip : 73096-3309
Country : US
Telephone Number : 580-772-5551
Fax Number : 580-774-2314
Authorized Official
Title or Position : CFO
Name : GEORGANNA LEA BUSS
Credential :
Telephone Number : 580-774-4762
Provider Enumeration Date : 11/05/2008
Last Update Date : 05/23/2022

Similar Medicare Providers

1639175185 — WEATHERFORD HOSPITAL AUTHORITY
Practice Location Address:
3701 E MAIN ST
WEATHERFORD, OK
73096-3309
Practice Phone: 580-772-5551
Practice Fax: 580-774-4762
1922101054 — MRS. JENNIFER L HORSLEY APRN-CNP,BC
Practice Location Address:
3701 E MAIN ST
WEATHERFORD, OK
73096-3309
Practice Phone: 580-816-4050
Practice Fax: 580-772-2465
1285709998 — WEATHERFORD HOSPITAL AUTHORITY
Practice Location Address:
3701 E MAIN ST
WEATHERFORD, OK
73096-3309
Practice Phone: 580-772-5551
Practice Fax: 580-774-0964
1417167958 — MICHELLE DOUGLAS
Practice Location Address:
3701 E MAIN ST
WEATHERFORD, OK
73096-3309
Practice Phone: 940-549-8787
Practice Fax:
1093983520 — WEATHERFORD HOSPITAL AUTHORITY
Practice Location Address:
3701 E MAIN ST
WEATHERFORD, OK
73096-3309
Practice Phone: 580-772-5551
Practice Fax: 580-774-0964
1134386741 — CRISTINA HART-WOLFE PT, OCS,ATC
Practice Location Address:
3701 E MAIN ST , WEATHERFORD REGIONAL HOSPITAL
WEATHERFORD, OK
73096-3309
Practice Phone: 580-772-2604
Practice Fax: 580-772-2906

Directions to “WEATHERFORD HOSPITAL AUTHORITY ” Practice Location

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