Healthcare Provider Details

I. General information

NPI: 1568870921
Provider Name (Legal Business Name): SEILING MUNICIPAL HOSPITAL AUTHORITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2014
Last Update Date: 07/30/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

US HIGHWAY 60, NE
SEILING OK
73663
US

IV. Provider business mailing address

PO BOX 1043
SEILING OK
73663-1043
US

V. Phone/Fax

Practice location:
  • Phone: 580-922-7361
  • Fax: 580-922-7375
Mailing address:
  • Phone: 580-922-7361
  • Fax: 580-922-7375

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code275N00000X
TaxonomyMedicare Defined Swing Bed Hospital Unit
License Number2256
License Number StateOK

VIII. Authorized Official

Name: MICKEY LOUTHAN
Title or Position: MAYOR
Credential:
Phone: 580-922-4460