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General NPI Number Information
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NPI Number | 1578026571
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Entity Type | Organization
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Legal Business Name | LEFLORE COUNTY HOSPITAL AUTHORITY
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Dates
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Enumeration Date | 04/08/2019
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Last Update Date | 05/14/2025
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Provider Practice Location Address
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Address Line | 104 S EAST BLVD
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City | POTEAU
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State | OK
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Zip | 74953
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Country | US
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Telephone | 918-635-3576
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Fax | 918-635-3158
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Provider Business Mailing Address
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Address Line | 105 WALL ST
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City | POTEAU
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State | OK
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Zip | 74953-4433
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Country | US
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Telephone | 918-635-3566
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Fax | 918-635-3568
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Authorized Official
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Title or Position | CEO
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Name | TIFFANY B GRIFFIS
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Credential |
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Telephone | 918-635-3441
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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