| Coal County General Hospital | |
|
1011 N Hinckley St Holdenville OK 74848-3846 | |
| (405) 592-3500 | |
| (405) 712-5115 |
| Full Name | Coal County General Hospital |
|---|---|
| Speciality | Clinic/Center |
| Location | 1011 N Hinckley St, Holdenville, Oklahoma |
| Authorized Official Name and Position | Trent Bourland (CEO) |
| Authorized Official Contact | 5809272327 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Coal County General Hospital Po Box 326 Coalgate OK 74538-0326 Ph: (580) 927-2327 | Coal County General Hospital 1011 N Hinckley St Holdenville OK 74848-3846 Ph: (405) 592-3500 |
| NPI Number | 1245938497 |
|---|---|
| Provider Enumeration Date | 02/17/2023 |
| Last Update Date | 02/17/2023 |
| Medicare PECOS PAC ID | 8022901396 |
|---|---|
| Medicare Enrollment ID | O20180731001666 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245938497 | NPI | - | NPPES |
| 100774650I | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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