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BLACKWELL HMA LLC NPI 1790706851


NPI Information

NPI: 1790706851
Provider Name: BLACKWELL HMA LLC

Doing Business As: ALLIANCEHEALTH BLACKWELL

Classification: General Acute Care Hospital - 282N00000X
Entity Type: Organization
Address:
710 S 13TH ST
BLACKWELL, OK
ZIP 74631
Phone: (580) 363-2311
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BLACKWELL HMA LLC is a general acute care hospital in Blackwell, 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. BLACKWELL HMA LLC NPI is 1790706851. The provider is registered as an organization entity type.
The provider Is Doing Business As Alliancehealth Blackwell.

The provider's business location address is:

710 S 13TH ST
BLACKWELL, OK
ZIP 74631-700
Phone: (580) 363-2311

The provider's authorized official is Laurie Holtsford .
The authorized official title is Authorized Official and has the following contact phone number (615) 465-7466.

The enumeration date for this NPI number is 7/22/2006 and was last updated on 7/23/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM2500XClinic/CenterMedical Specialty7335OKLAHOMANo
2282N00000XGeneral Acute Care Hospital2281OKLAHOMAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1100700340AMEDICAIDOKLAHOMA
2CK5284OTHEROKLAHOMARAILROAD MEDICARE GROUP
3100700340COTHEROKLAHOMAMEDICAID
4731262316MEDICARE PINOKLAHOMA
5370030MEDICARE OSCAR/CERTIFICATIONOKLAHOMA

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: 4/28/2024

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