MEDICARE: STILLWATER MEDICAL CENTER AUTHORITY

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
1	251V00000X	Voluntary or Charitable Agency
2	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1659226553
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STILLWATER MEDICAL CENTER AUTHORITY

Provider Business Mailing Address
First Line	:	809 S WALNUT ST
Second Line	:
City	:	STILLWATER
State	:	OK
Zip	:	74074-4226
Country	:	US
Telephone Number	:	405-743-3171
Fax Number	:

Provider Business Practice Location Address
First Line	:	809 S WALNUT ST
Second Line	:
City	:	STILLWATER
State	:	OK
Zip	:	74074-4226
Country	:	US
Telephone Number	:	405-743-3171
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DENISE ADRIENNE WEBBER
Credential	:
Telephone Number	:	405-742-5230

Provider Enumeration Date	:	03/04/2026
Last Update Date	:	03/04/2026

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Directions to “STILLWATER MEDICAL CENTER AUTHORITY ” Practice Location

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