Provider Demographics
NPI:1346445319
Name:PAWNEE MUNICIPAL HOSPITAL AUTHORITY
Entity type:Organization
Organization Name:PAWNEE MUNICIPAL HOSPITAL AUTHORITY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:BOARD CHAIRMAN
Authorized Official - Prefix:MR
Authorized Official - First Name:TOM
Authorized Official - Middle Name:RICHARD
Authorized Official - Last Name:BRIGGS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-762-2658
Mailing Address - Street 1:PO BOX 467
Mailing Address - Street 2:ATTN TINA STEELE
Mailing Address - City:PAWNEE
Mailing Address - State:OK
Mailing Address - Zip Code:74058-0467
Mailing Address - Country:US
Mailing Address - Phone:918-762-6318
Mailing Address - Fax:918-762-6317
Practice Address - Street 1:1212 4TH ST
Practice Address - Street 2:
Practice Address - City:PAWNEE
Practice Address - State:OK
Practice Address - Zip Code:74058-4046
Practice Address - Country:US
Practice Address - Phone:918-762-6318
Practice Address - Fax:918-762-6317
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2276282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital