| Mcalester Regional Health Center Authority | |
|
1 E Clark Bass Blvd Mcalester OK 74501-4209 | |
| (918) 421-8023 | |
| (918) 421-8631 |
| Full Name | Mcalester Regional Health Center Authority |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 1 E Clark Bass Blvd, Mcalester, Oklahoma |
| Authorized Official Name and Position | David Keith (CEO) |
| Authorized Official Contact | 9184218101 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mcalester Regional Health Center Authority 1 E Clark Bass Blvd Mcalester OK 74501-4209 Ph: (918) 421-8023 | Mcalester Regional Health Center Authority 1 E Clark Bass Blvd Mcalester OK 74501-4209 Ph: (918) 421-8023 |
| NPI Number | 1679011290 |
|---|---|
| Provider Enumeration Date | 02/02/2017 |
| Last Update Date | 02/02/2017 |
| Medicare PECOS PAC ID | 6709796436 |
|---|---|
| Medicare Enrollment ID | O20171003004424 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679011290 | NPI | - | NPPES |
| 100710530D | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 2203 (Oklahoma) | Primary |
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