Healthcare Provider Details

I. General information

NPI: 1801003934
Provider Name (Legal Business Name): VALLEY VIEW REGIONAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/17/2007
Last Update Date: 09/09/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

217 WEST SMITH ST
STRATFORD OK
74872-0001
US

IV. Provider business mailing address

PO BOX 850
STRATFORD OK
74872-0850
US

V. Phone/Fax

Practice location:
  • Phone: 580-759-2336
  • Fax: 580-332-0383
Mailing address:
  • Phone: 580-759-2336
  • Fax: 580-332-0383

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number StateOK

VIII. Authorized Official

Name: MRS. MARY E KRAUSE
Title or Position: CFO
Credential:
Phone: 580-421-1412