Provider Demographics
NPI:1457863441
Name:DUNCAN REGIONAL HOSPITAL, INC
Entity Type:Organization
Organization Name:DUNCAN REGIONAL HOSPITAL, INC
Other - Org Name:JEFFERSON COUNTY HOSPITAL D/B/A MARLOW FAMILY CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT AND 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:
Practice Address - Street 1:501 N 4TH ST
Practice Address - Street 2:
Practice Address - City:MARLOW
Practice Address - State:OK
Practice Address - Zip Code:73055-1807
Practice Address - Country:US
Practice Address - Phone:580-658-6679
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DUNCAN REGIONAL HOSPITAL, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-10-30
Last Update Date:2017-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health