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General NPI Number Information
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NPI Number | 1144534603
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Entity Type | Organization
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Legal Business Name | ALVA HOSPITAL AUTHORITY
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Dates
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Enumeration Date | 07/27/2010
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Last Update Date | 08/27/2025
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Provider Practice Location Address
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Address Line | 800 SHARE DR STE 100
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City | ALVA
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State | OK
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Zip | 73717-3614
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Country | US
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Telephone | 580-430-3366
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Fax | 580-430-3374
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Provider Business Mailing Address
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Address Line | 800 SHARE DR PO BOX 727
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City | ALVA
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State | OK
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Zip | 73717-3618
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Country | US
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Telephone | 580-327-2800
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | KANDICE ALLEN
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Credential |
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Telephone | 580-327-2800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC0050X
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Taxonomy Name | Critical Access Hospital Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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