Healthcare Provider Details

I. General information

NPI: 1841423894
Provider Name (Legal Business Name): HOSPITAL CARE CONSULTANTS OF SALLISAW
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2009
Last Update Date: 09/02/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

213 E REDWOOD AVE
SALLISAW OK
74955-2811
US

IV. Provider business mailing address

PO BOX 95968
OKLAHOMA CITY OK
73143-5968
US

V. Phone/Fax

Practice location:
  • Phone: 918-774-1100
  • Fax:
Mailing address:
  • Phone: 800-962-3303
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number
License Number State

VIII. Authorized Official

Name: RON WEISS
Title or Position: CEO
Credential:
Phone: 866-931-8882