Healthcare Provider Details

I. General information

NPI: 1295963130
Provider Name (Legal Business Name): CAH ACQUISITION COMPANY 9, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2009
Last Update Date: 06/30/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

HWY 60, NE
SEILING OK
73663
US

IV. Provider business mailing address

PO BOX 720
SEILING OK
73663-0720
US

V. Phone/Fax

Practice location:
  • Phone: 580-922-7361
  • Fax: 580-922-7360
Mailing address:
  • Phone: 580-922-7361
  • Fax: 580-922-7360

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code275N00000X
TaxonomyMedicare Defined Swing Bed Hospital Unit
License Number
License Number State

VIII. Authorized Official

Name: CHERYL BARTON
Title or Position: ADMINISTRATOR
Credential:
Phone: 580-922-7361