Healthcare Provider Details

I. General information

NPI: 1528171147
Provider Name (Legal Business Name): HASKELL COUNTY - CITY OF STIGLER HOSPITAL AUTHORITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/16/2006
Last Update Date: 03/19/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

519 E MAIN ST
STIGLER OK
74462-2435
US

IV. Provider business mailing address

PO BOX 728
STIGLER OK
74462-0728
US

V. Phone/Fax

Practice location:
  • Phone: 918-967-8095
  • Fax: 918-967-0071
Mailing address:
  • Phone: 918-967-8095
  • Fax: 918-967-0071

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number7164
License Number StateOK
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number7164
License Number StateOK

VIII. Authorized Official

Name: MR. JOSEPH S MORRIS
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 918-967-4682