Healthcare Provider Details

I. General information

NPI: 1710165626
Provider Name (Legal Business Name): RHA ANADARKO INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2008
Last Update Date: 12/30/2020
Certification Date: 12/30/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1002 E CENTRAL BLVD
ANADARKO OK
73005-4496
US

IV. Provider business mailing address

PO BOX 12893
OKLAHOMA CITY OK
73157-2893
US

V. Phone/Fax

Practice location:
  • Phone: 405-247-2551
  • Fax:
Mailing address:
  • Phone: 405-917-0300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number2216
License Number StateOK

VIII. Authorized Official

Name: BRANDICE WALTERS
Title or Position: OPERATIONS COORDINATOR
Credential:
Phone: 405-517-5719