Healthcare Provider Details

I. General information

NPI: 1720266638
Provider Name (Legal Business Name): RHA STROUD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2008
Last Update Date: 12/30/2020
Certification Date: 12/30/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2308 HIGHWAY 66 WEST
STROUD OK
74079-6729
US

IV. Provider business mailing address

PO BOX 12913
OKLAHOMA CITY OK
73157-2913
US

V. Phone/Fax

Practice location:
  • Phone: 918-968-9571
  • Fax:
Mailing address:
  • Phone: 405-917-0300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number2188
License Number StateOK

VIII. Authorized Official

Name: MICHAEL R SCHUSTER
Title or Position: BILLING OFFICE MANAGER
Credential:
Phone: 405-917-0300