WAGONER HOSPITAL AUTHORITY NPI 1386611580

NPI Information

NPI: 1386611580
Provider Name: WAGONER HOSPITAL AUTHORITY
Classification: General Acute Care Hospital - 282N00000X
Entity Type: Organization
Address: 1200 W CHEROKEE ST
WAGONER, OK
ZIP 74467
Phone: (918) 485-5514

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NPI Details

WAGONER HOSPITAL AUTHORITY is a general acute care hospital in Wagoner, OK. The provider is an acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. WAGONER HOSPITAL AUTHORITY NPI is 1386611580. The provider is registered as an organization entity type.

The provider's business location address is:

1200 W CHEROKEE ST
WAGONER, OK
ZIP 74467-624
Phone: (918) 485-5514
Fax: (918) 485-9701

The provider's authorized official is Debi Hamilton .
The authorized official title is Chairman and has the following contact phone number (918) 485-5514.

The enumeration date for this NPI number is 3/7/2006 and was last updated on 4/27/2021.

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
1	282N00000X	General Acute Care Hospital		2298	OKLAHOMA	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	300522264	OTHER	OKLAHOMA	MEDICARE CLINIC PROVIDER NUMBER
2	200100890B	MEDICAID	OKLAHOMA
3	200100890A	OTHER	OKLAHOMA	MEDICAID PROVIDER NUMBER FOR PHYSICIAN BILLING

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: 11/21/2025

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