Organization · Type 2 NPI

Wagoner Hospital Authority

Rural Health Clinic/Center · Wagoner, OK

NPI number 1366674772 Active

Practice location

1202 W Cherokee St Ste E
Wagoner, OK 74467-4629

Fax (918) 485-0535

Mailing address

1200 W Cherokee St
Wagoner, OK 74467-4624

Other practice locations

  • 3501 W Broadway St, Muskogee, OK 74401-2138 · (918) 913-9408

Specialties and licenses

TaxonomyCodeLicense
Rural Health Clinic/Center Primary 261QR1300XNone listed
Urgent Care Clinic/Center 261QU0200X2298 (OK)
General Acute Care Hospital 282N00000X2298 (OK)

Rural Health Clinic/Center: Definition to come...

2 other providers at this address

About NPI 1366674772

Wagoner Hospital Authority's National Provider Identifier is 1366674772, issued on Aug 18, 2009. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Wagoner, OK. The record was last updated on Apr 27, 2021.