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General NPI Number Information
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NPI Number | 1083617807
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Entity Type | Organization
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Legal Business Name | NEWMAN MEMORIAL HOSPITAL, INC
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Dates
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Enumeration Date | 05/24/2005
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Last Update Date | 05/14/2020
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Provider Practice Location Address
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Address Line | 905 S MAIN ST
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City | SHATTUCK
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State | OK
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Zip | 73858
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Country | US
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Telephone | 580-938-2551
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Fax | 580-938-2615
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Provider Business Mailing Address
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Address Line | 905 S MAIN ST
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City | SHATTUCK
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State | OK
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Zip | 73858-9205
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Country | US
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Telephone | 580-938-2551
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Fax | 580-938-2615
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MR. EDDIE JACKSON MAJORS
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Credential | CEO
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Telephone | 580-938-2551
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | 2243
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License Number State | OK
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