37D0475431 CLIA NUMBER - COAL COUNTY GENERAL HOSPITAL INC

Laboratory Demographics

CLIA Number: 37D0475431

Facility Name: COAL COUNTY GENERAL HOSPITAL INC

Facility Address:
6 N COVINGTON
COALGATE, OK
ZIP 74538
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Facility Phone Number: 580 927-2327

Facility Type: Hospital

Certificate Type: Certificate of Compliance

NPI Number: 1629077227

Taxonomy: 282NC0060X - General Acute Care Hospital

CLIA Record

Field Name	Field Value
CLIA Number	37D0475431
LAB Type	Hospital
Facility Name	COAL COUNTY GENERAL HOSPITAL INC
Street	6 N COVINGTON
City	COALGATE
State	OK
ZIP	74538
Phone	580 927-2327
CertificateType	2
CertificateEffectiveDate	4/27/2023
CertificateExpirationDate	4/26/2025
FacilityType	Compliance

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This page was last updated on: 4/23/2024