Provider Demographics
NPI:1528171147
Name:HASKELL COUNTY - CITY OF STIGLER HOSPITAL AUTHORITY
Entity type:Organization
Organization Name:HASKELL COUNTY - CITY OF STIGLER HOSPITAL AUTHORITY
Other - Org Name:
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:918-967-8095
Mailing Address - Fax:918-967-0071
Practice Address - Street 1:519 E MAIN ST
Practice Address - Street 2:
Practice Address - City:STIGLER
Practice Address - State:OK
Practice Address - Zip Code:74462-2435
Practice Address - Country:US
Practice Address - Phone:918-967-8095
Practice Address - Fax:918-967-0071
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MID - LAKES HOME HEALTHCARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-08-16
Last Update Date:2010-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK7164251J00000X, 251E00000X
332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100700850TMedicaid
OK100700850FMedicaid
OK100700850TMedicaid