Healthcare Provider Details

I. General information

NPI: 1699318147
Provider Name (Legal Business Name): DUNCAN REGIONAL HOSPITAL, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/28/2019
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9170 US HIGHWAY 70
WAURIKA OK
73573
US

IV. Provider business mailing address

PO BOX 100
DUNCAN OK
73534-0100
US

V. Phone/Fax

Practice location:
  • Phone: 580-228-2344
  • Fax:
Mailing address:
  • Phone: 580-251-8927
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: KEN MILLER
Title or Position: VICE PRESIDENT-FINANCE AND CFO
Credential:
Phone: 580-251-8554