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SCH370049-06 STILLWATER MEDICAL CENTER AUTHORITY (Active)
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Main Details
Name
STILLWATER MEDICAL CENTER AUTHORITY
Subdivision Name
The Cancer Center at SMC
Type
Sole Community Hospital
Rural
No
340B ID
SCH370049-06
Medicare Provider Number
370049
Outpatient Facility Provider Number
370049
Additional Details
Current Program Status
Active
Registration Date
7/8/2014
Participating Start Date
10/1/2014
Participating Approval Date
9/8/2014
Last Recertification Date
8/12/2024
Contacts
Authorizing Official
Stillwater Medical Center Authority
ALAN LOVELACE, CHIEF FINANCIAL OFFICER
(405) 742-5729
Primary Contact
Stillwater Medical Center Authority
Kari Easson, Controller
(405) 742-5640
Addresses
Street Address
1201 West Sixth
Stillwater, OK 74074
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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