MEDICARE: DRUMRIGHT COMMUNITY HOSPITAL 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
1	275N00000X	Medicare Defined Swing Bed Hospital Unit

General Provider Information

NPI Number	:	1669000857
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DRUMRIGHT COMMUNITY HOSPITAL LLC

Provider Business Mailing Address
First Line	:	610 W BYPASS
Second Line	:
City	:	DRUMRIGHT
State	:	OK
Zip	:	74030-5957
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	610 W BYPASS
Second Line	:
City	:	DRUMRIGHT
State	:	OK
Zip	:	74030-5957
Country	:	US
Telephone Number	:	918-382-2300
Fax Number	:

Authorized Official
Title or Position	:	COO
Name	:	DARREL MORRIS
Credential	:
Telephone Number	:	918-527-1234

Provider Enumeration Date	:	04/01/2020
Last Update Date	:	04/01/2020

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