Organization · Type 2 NPI

Sequoyah County City of Sallisaw Hospital Authority

Medicare Defined Swing Bed Hospital Unit · Sallisaw, OK

NPI number 1528319092 Active

Practice location

213 E Redwood Ave
Sallisaw, OK 74955-2811

Fax (918) 774-1103

Specialties and licenses

Taxonomy	Code	License
Medicare Defined Swing Bed Hospital Unit Primary	275N00000X	2189 (OK)

Medicare Defined Swing Bed Hospital Unit: A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit.

31 other providers at this address

NPI record

NPI: 1528319092
Entity type: Organization (Type 2)
Issued: Sep 25, 2012
Last updated: Apr 20, 2023
Status: Active
Subpart: Yes of Sequoyah County City of Sallisaw Hospital Authority

Other names

<unavail>
Sequoyah Memorial Hospital and Home Health · doing business as
Sequoyah Memorial Hospital and Home Health · doing business as

Authorized official

Eric Carter
Director of Operation
(918) 774-1161

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1528319092

Sequoyah County City of Sallisaw Hospital Authority's National Provider Identifier is 1528319092, issued on Sep 25, 2012. The primary taxonomy on file is Medicare Defined Swing Bed Hospital Unit (275N00000X), and the practice location is in Sallisaw, OK. The record was last updated on Apr 20, 2023.