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General NPI Number Information
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NPI Number | 1679684682
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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 | 08/31/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 800 SHARE DR
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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 | 580-430-3332
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Provider Business Mailing Address
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Address Line | 800 SHARE DR
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City | ALVA
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State | OK
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Zip | 73717-3613
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Country | US
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Telephone | 580-327-2800
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Fax | 580-430-3374
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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 | 580-430-3309
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NR1301X
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Taxonomy Name | Rural Acute Care Hospital
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License Number | 2251
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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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 | 275N00000X
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Taxonomy Name | Medicare Defined Swing Bed Hospital Unit
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License Number |
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License Number State |
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