Healthcare Provider Details

I. General information

NPI: 1922091347
Provider Name (Legal Business Name): EUFAULA MEDICAL CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2005
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 HOSPITAL DR
EUFAULA OK
74432-4010
US

IV. Provider business mailing address

1 HOSPITAL DR PO BOX 629
EUFAULA OK
74432-4010
US

V. Phone/Fax

Practice location:
  • Phone: 918-689-2541
  • Fax: 918-689-7285
Mailing address:
  • Phone: 918-689-2541
  • Fax: 918-689-7285

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number
License Number StateOK

VIII. Authorized Official

Name: JITENDRA RAVDI PARMAR
Title or Position: MD
Credential: MD
Phone: 918-689-2541