NPI 1679550115 · live from the CMS NPI Registry
County Of Tillman - City Of Frederick Hospital Authority
Skilled Nursing Facility in Frederick, OK. National Provider Identifier 1679550115, active.
NPI record
| NPI | 1679550115 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 319 E Josephine Avenue, Frederick, OK 73542 |
| Practice phone | 580-335-6600 |
| Enumerated | December 27, 2005 |
| Last updated | June 20, 2023 |
| Authorized official | Ryan Ade, Board Chairman |
| Other names | Memorial Hospital |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Skilled Nursing Facility | 314000000X | 7103 (OK) |
| Skilled Nursing Facility primary | 314000000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.