Provider Demographics
NPI:1508511270
Name:HASKELL REGIONAL HOSPITAL, INC.
Entity Type:Organization
Organization Name:HASKELL REGIONAL HOSPITAL, INC.
Other - Org Name:HRH MEDICAL GROUP, AFFORDABLE HEALTHCARE CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KIRNJOT
Authorized Official - Middle Name:
Authorized Official - Last Name:SINGH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:219-228-4355
Mailing Address - Street 1:10996 FOUR SEASONS PL STE 100C
Mailing Address - Street 2:
Mailing Address - City:CROWN POINT
Mailing Address - State:IN
Mailing Address - Zip Code:46307-7762
Mailing Address - Country:US
Mailing Address - Phone:219-228-1021
Mailing Address - Fax:
Practice Address - Street 1:714 HIGHWAY 59 N
Practice Address - Street 2:
Practice Address - City:HEAVENER
Practice Address - State:OK
Practice Address - Zip Code:74937-2252
Practice Address - Country:US
Practice Address - Phone:918-653-2345
Practice Address - Fax:918-653-2385
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-21
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health