| Stillwater Medical Center Authority | |
|
1411 W 7th Ave Ste 102 Stillwater OK 74074-4300 | |
| (405) 533-6048 | |
| Not Available |
| Full Name | Stillwater Medical Center Authority |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 1411 W 7th Ave Ste 102, Stillwater, Oklahoma |
| Authorized Official Name and Position | Denise Adrienne Webber (CEO) |
| Authorized Official Contact | 4057425230 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stillwater Medical Center Authority Po Box 720006 Norman OK 73070-4006 Ph: (405) 742-5300 | Stillwater Medical Center Authority 1411 W 7th Ave Ste 102 Stillwater OK 74074-4300 Ph: (405) 533-6048 |
| NPI Number | 1457961567 |
|---|---|
| Provider Enumeration Date | 08/04/2020 |
| Last Update Date | 08/04/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457961567 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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