Provider Demographics
NPI:1164963708
Name:DUNCAN REGIONAL HOSPITAL, INC.
Entity Type:Organization
Organization Name:DUNCAN REGIONAL HOSPITAL, INC.
Other - Org Name:D/B/A JEFFERSON COUNTY HOSPITAL D/B/A DUNCAN MEDICAL ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT-FINANCE AND CFO
Authorized Official - Prefix:
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:R
Authorized Official - Last Name:VOLINSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:580-251-8554
Mailing Address - Street 1:PO BOX 100
Mailing Address - Street 2:
Mailing Address - City:DUNCAN
Mailing Address - State:OK
Mailing Address - Zip Code:73534-0100
Mailing Address - Country:US
Mailing Address - Phone:580-251-8554
Mailing Address - Fax:580-251-8559
Practice Address - Street 1:2635 W ELK AVE
Practice Address - Street 2:
Practice Address - City:DUNCAN
Practice Address - State:OK
Practice Address - Zip Code:73533-1572
Practice Address - Country:US
Practice Address - Phone:580-252-6080
Practice Address - Fax:580-255-1064
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-15
Last Update Date:2023-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health