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NPI Code Detail

MEDICARE: REYNOLDS ARMY COMMUNITY HOSPITAL

MEDICARE: REYNOLDS ARMY COMMUNITY HOSPITAL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM1100XMilitary/U.S. Coast Guard Outpatient Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11487752960OTHERPARENT BILLING FACILITY - REYNOLDS ACH NPI

General Provider Information

NPI Number : 1427208008
Entity Type Code : Organization
Provider Name (Legal Business Name) : REYNOLDS ARMY COMMUNITY HOSPITAL
Provider Business Mailing Address
First Line : 3009 N.W. WILSON RD
Second Line : ATTN MCUA-PAD-PF
City : FORT SILL
State : OK
Zip : 73503
Country : US
Telephone Number : 580-458-2793
Fax Number :
Provider Business Practice Location Address
First Line : 2913 CRAIG ROAD
Second Line :
City : FORT SILL
State : OK
Zip : 73503
Country : US
Telephone Number : 580-558-2800
Fax Number :
Authorized Official
Title or Position : UBO MANAGER
Name : CHARLES CHITTUM
Credential :
Telephone Number : 580-558-2793
Provider Enumeration Date : 09/19/2008
Last Update Date : 04/07/2015

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Directions to “REYNOLDS ARMY COMMUNITY HOSPITAL ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.