Provider Demographics
NPI:1124068705
Name:HASKELL COUNTY-CITY OF STIGLER HOSPITAL AUTHORITY
Entity type:Organization
Organization Name:HASKELL COUNTY-CITY OF STIGLER HOSPITAL AUTHORITY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:S
Authorized Official - Last Name:MORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-967-4682
Mailing Address - Street 1:PO BOX 728
Mailing Address - Street 2:
Mailing Address - City:STIGLER
Mailing Address - State:OK
Mailing Address - Zip Code:74462-0728
Mailing Address - Country:US
Mailing Address - Phone:918-967-4682
Mailing Address - Fax:918-967-2332
Practice Address - Street 1:401 NW H ST
Practice Address - Street 2:
Practice Address - City:STIGLER
Practice Address - State:OK
Practice Address - Zip Code:74462-1625
Practice Address - Country:US
Practice Address - Phone:918-967-4682
Practice Address - Fax:918-967-2332
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-08
Last Update Date:2010-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2173282NC0060X, 282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
No282NC0060XHospitalsGeneral Acute Care HospitalCritical Access
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100700850AMedicaid
OK100700850CMedicaid
OK500522130Medicare PIN
OK100700850CMedicaid
371335Medicare Oscar/Certification