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CAH371327-03 OKEENE MUNICIPAL HOSPITAL (Active)
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Main Details
Name
OKEENE MUNICIPAL HOSPITAL
Subdivision Name
Okeene Medical Clinic
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH371327-03
Medicare Provider Number
371327
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/1/2016
Participating Start Date
7/1/2016
Participating Approval Date
5/4/2016
Last Recertification Date
8/14/2024
Contacts
Authorizing Official
Okeene Municipal Hospital and Schallmo Authority
Clark Houser, CEO
(580) 822-4321
Primary Contact
Okeene Municipal Hospital
Tammy Fischer, CNO
(580) 822-4323
Addresses
Street Address
124 N 6th
Okeene, OK 73763-9135
Billing Address
Okeene Municipal Hospital
PO Box 489
Okeene, OK 73763-0489
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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