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General NPI Number Information
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NPI Number | 1770752800
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Entity Type | Organization
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Legal Business Name | CRAIG COUNTY HOSPITAL AUTHORITY
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Dates
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Enumeration Date | 02/22/2008
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Last Update Date | 02/12/2013
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Provider Practice Location Address
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Address Line | 10 S TREATY RD
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City | MIAMI
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State | OK
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Zip | 74354-5330
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Country | US
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Telephone | 918-542-6644
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 326
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City | VINITA
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State | OK
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Zip | 74301-0326
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Country | US
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Telephone | 918-256-7551
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Fax | 918-256-4140
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Authorized Official
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Title or Position | CEO
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Name | MR. STEVEN CHASE
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Credential |
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Telephone | 918-256-7551
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care 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 | 282NR1301X
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Taxonomy Name | Rural Acute Care Hospital
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License Number | 2182
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License Number State | OK
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Taxonomy #3
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 2182
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License Number State | OK
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