COAL COUNTY GENERAL HOSPITAL NPI 1750091500

NPI Information

NPI: 1750091500
Provider Name: COAL COUNTY GENERAL HOSPITAL

Other Name: HELTON RURAL HEALTH CLINIC

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
108 W OHIO AVE
COALGATE, OK
ZIP 74538
Phone: (580) 927-2337
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COAL COUNTY GENERAL HOSPITAL is a rural health clinic center in Coalgate, OK. COAL COUNTY GENERAL HOSPITAL NPI is 1750091500. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Helton Rural Health Clinic.

The provider's business location address is:

108 W OHIO AVE
COALGATE, OK
ZIP 74538-827
Phone: (580) 927-2337
Fax: (580) 927-9941

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 enumeration date for this NPI number is 12/2/2022 and was last updated on 2/20/2023.

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	Primary
1	207Q00000X	Family Medicine		No
2	261Q00000X	Clinic/Center		No
3	363LF0000X	Nurse Practitioner	Family	No
4	261QR1300X	Clinic/Center	Rural Health	Yes

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
1	100774650J	MEDICAID	OKLAHOMA

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

NPI Synchronization or Removal

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