COAL COUNTY GENERAL HOSPITAL NPI 1639877871

NPI Information

NPI: 1639877871
Provider Name: COAL COUNTY GENERAL HOSPITAL
Classification: Clinic/Center - 261QR1300X
Specialization: Rural Health
Entity Type: Organization
Doing Business As: EASTERN OKLAHOMA HEALTH CLINIC OF ATOKA
Address: 1668 W LIBERTY RD
ATOKA, OK
ZIP 74525
Phone: (580) 889-3355

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NPI Details

COAL COUNTY GENERAL HOSPITAL is a rural health clinic center in Atoka, OK. COAL COUNTY GENERAL HOSPITAL NPI is 1639877871. The provider is registered as an organization entity type.
The provider Is Doing Business As Eastern Oklahoma Health Clinic Of Atoka.

The provider's business location address is:

1668 W LIBERTY RD
ATOKA, OK
ZIP 74525-703
Phone: (580) 889-3355
Fax: (580) 889-5272

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 2/17/2023 and was last updated on 10/12/2023.

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	License Number	License State	Primary
1	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	100774650H	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: 3/30/2025

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