NPI 1356859342 · live from the CMS NPI Registry
Blackwell Hospital Trust Authority
Internal Medicine in Blackwell, OK. National Provider Identifier 1356859342, active.
NPI record
| NPI | 1356859342 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine 207R00000X |
| Practice location | 710 S 13th St, Blackwell, OK 74631 |
| Practice phone | 580-363-2311 |
| Mailing address | Po Box 720402, Norman, OK 73070 |
| Enumerated | January 12, 2018 |
| Last updated | January 12, 2018 |
| Authorized official | Joyce Daniel, Ceo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Anesthesiology | 207L00000X | 2281 (OK) |
| Family Medicine | 207Q00000X | 2281 (OK) |
| Internal Medicine, Cardiovascular Disease | 207RC0000X | 2281 (OK) |
| Obstetrics & Gynecology | 207V00000X | 2281 (OK) |
| Orthopaedic Surgery | 207X00000X | 2281 (OK) |
| Surgery | 208600000X | 2281 (OK) |
| Hospitalist | 208M00000X | 2281 (OK) |
| Physician Assistant | 363A00000X | 2281 (OK) |
| Nurse Practitioner | 363L00000X | 2281 (OK) |
| Internal Medicine primary | 207R00000X | 2281 (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.