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General NPI Number Information
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NPI Number | 1821972076
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Entity Type | Organization
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Legal Business Name | ARBUCKLE MEMORIAL HOSPITAL
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Dates
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Enumeration Date | 08/01/2025
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Last Update Date | 09/12/2025
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Provider Practice Location Address
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Address Line | 109-C W. MAIN ST
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City | DAVIS
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State | OK
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Zip | 73030-1764
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Country | US
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Telephone | 580-622-8205
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Fax | 580-203-3515
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Provider Business Mailing Address
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Address Line | PO BOX 1109
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City | SULPHUR
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State | OK
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Zip | 73086-8109
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Country | US
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Telephone | 580-622-8205
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Fax | 580-203-3515
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Authorized Official
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Title or Position | CEO
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Name | JEREMY JONES
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Credential |
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Telephone | 580-622-8200
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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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