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CAH371321-00 Holdenville Hospital Authority (Active)
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Main Details
Name
Holdenville Hospital Authority
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH371321-00
Medicare Provider Number
371321
Additional Details
Current Program Status
Active
Registration Date
8/3/2010
Participating Start Date
8/9/2010
Participating Approval Date
8/3/2010
Last Recertification Date
9/3/2024
Contacts
Authorizing Official
Holdenville Hospital Authority
Stephen Stewart, CEO
(405) 379-4200
Primary Contact
Holdenville Hospital Authority
Shirley Orr, DON
(405) 379-4200
Addresses
Street Address
100 MCDOUGAL DRIVE
HOLDENVILLE, OK 74848
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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