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NPI Code Detail

MEDICARE: LOVE COUNTY HEALTH CENTER

MEDICARE: LOVE COUNTY HEALTH CENTER
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
1282NC0060XCritical Access Hospital2234OK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1649221557
Entity Type Code : Organization
Provider Name (Legal Business Name) : LOVE COUNTY HEALTH CENTER
Provider Business Mailing Address
First Line : 300 WANDA STREET
Second Line :
City : MARIETTA
State : OK
Zip : 73448-1200
Country : US
Telephone Number : 580-276-3347
Fax Number : 580-276-2182
Provider Business Practice Location Address
First Line : 300 WANDA STREET
Second Line :
City : MARIETTA
State : OK
Zip : 73448-1200
Country : US
Telephone Number : 580-276-3347
Fax Number : 580-276-2182
Authorized Official
Title or Position : ADMINISTRATOR
Name : MR. W SCOTT CALLENDER
Credential :
Telephone Number : 580-276-3347
Provider Enumeration Date : 05/15/2006
Last Update Date : 12/11/2025

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Directions to “LOVE COUNTY HEALTH CENTER ” Practice Location

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