Provider Demographics
NPI:1447734405
Name:DUNCAN REGIONAL HOSPITAL, INC.
Entity Type:Organization
Organization Name:DUNCAN REGIONAL HOSPITAL, INC.
Other - Org Name:JEFFERSON COUNTY HOSPITAL D/B/A PLAZA CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:DOUG
Authorized Official - Middle Name:
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:580-251-8927
Mailing Address - Fax:580-251-8932
Practice Address - Street 1:2340 W ELK AVE
Practice Address - Street 2:RM 2 & 6
Practice Address - City:DUNCAN
Practice Address - State:OK
Practice Address - Zip Code:73533-2086
Practice Address - Country:US
Practice Address - Phone:580-251-6822
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DUNCAN REGIONAL HOSPITAL, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-09-17
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health