Healthcare Provider Details

I. General information

NPI: 1073617619
Provider Name (Legal Business Name): SEILING MUNICIPAL HOSPITAL AUTHORITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2006
Last Update Date: 09/24/2008
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: 580-922-7718
Mailing address:
  • Phone: 580-922-7361
  • Fax: 580-922-7718

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number2256
License Number StateOK

VIII. Authorized Official

Name: SHERRY GEE
Title or Position: ADMINISTRATOR
Credential:
Phone: 580-922-7361