Provider Demographics
NPI:1417193293
Name:MUSKOGEE COMMUNITY HOSPITAL LLC
Entity Type:Organization
Organization Name:MUSKOGEE COMMUNITY HOSPITAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HOSPITAL CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:H
Authorized Official - Last Name:FRABLE
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:918-687-7777
Mailing Address - Street 1:2900 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MUSKOGEE
Mailing Address - State:OK
Mailing Address - Zip Code:74401-4078
Mailing Address - Country:US
Mailing Address - Phone:918-687-7777
Mailing Address - Fax:918-683-5232
Practice Address - Street 1:2900 N MAIN ST
Practice Address - Street 2:
Practice Address - City:MUSKOGEE
Practice Address - State:OK
Practice Address - Zip Code:74401-4078
Practice Address - Country:US
Practice Address - Phone:918-687-7777
Practice Address - Fax:918-683-5232
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-27
Last Update Date:2008-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital