Provider Demographics
NPI:1114143252
Name:MEMORIAL HOSPITAL OF TEXAS COUNTY
Entity Type:Organization
Organization Name:MEMORIAL HOSPITAL OF TEXAS COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST ASSIST.
Authorized Official - Prefix:MRS
Authorized Official - First Name:LYNETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:HELM
Authorized Official - Suffix:
Authorized Official - Credentials:RPTA
Authorized Official - Phone:580-338-6515
Mailing Address - Street 1:HCR #4 BOX 80
Mailing Address - Street 2:
Mailing Address - City:GUYMON
Mailing Address - State:OK
Mailing Address - Zip Code:73942
Mailing Address - Country:US
Mailing Address - Phone:580-338-8136
Mailing Address - Fax:
Practice Address - Street 1:520 MEDICAL DRIVE
Practice Address - Street 2:
Practice Address - City:GUYMON
Practice Address - State:OK
Practice Address - Zip Code:73942
Practice Address - Country:US
Practice Address - Phone:580-338-6515
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKTA516283X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283X00000XHospitalsRehabilitation Hospital