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COAL COUNTY GENERAL HOSPITAL NPI 1629077227


NPI Information

NPI: 1629077227
Provider Name: COAL COUNTY GENERAL HOSPITAL

Doing Business As: MARY HURLEY HOSPITAL

Classification: General Acute Care Hospital - 282NC0060X
Entity Type: Organization

Specialization: Critical Access

CLIA Number: 37D0475431

Address:
6 N COVINGTON ST
COALGATE, OK
ZIP 74538
Phone: (580) 927-2327
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COAL COUNTY GENERAL HOSPITAL is a critical access general acute care hospital in Coalgate, OK. COAL COUNTY GENERAL HOSPITAL NPI is 1629077227. The provider is registered as an organization entity type.
The provider Is Doing Business As Mary Hurley Hospital.

The provider's business location address is:

6 N COVINGTON ST
COALGATE, OK
ZIP 74538-002
Phone: (580) 927-2327
Fax: (580) 927-2439

The provider's authorized official is Trent Bourland .
The authorized official title is Ceo and has the following contact phone number (580) 927-2327.

The CLIA number assigned to this NPI record is 37D0475431 - hospital with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 7/18/2005 and was last updated on 11/29/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1282NC0060XGeneral Acute Care HospitalCritical Access2201OKLAHOMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11007746500MEDICAIDOKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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