Provider Demographics
NPI:1518405331
Name:DUNCAN REGIONAL HOSPITAL INC
Entity Type:Organization
Organization Name:DUNCAN REGIONAL HOSPITAL INC
Other - Org Name:JEFFERSON COUNTY HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:RICHARD
Authorized Official - Last Name:VOLINSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:580-251-8554
Mailing Address - Street 1:PO BOX 90
Mailing Address - Street 2:
Mailing Address - City:WAURIKA
Mailing Address - State:OK
Mailing Address - Zip Code:73573-0090
Mailing Address - Country:US
Mailing Address - Phone:580-228-2344
Mailing Address - Fax:580-228-3410
Practice Address - Street 1:U.S. HIGHWAYS 70 & 81
Practice Address - Street 2:
Practice Address - City:WAURIKA
Practice Address - State:OK
Practice Address - Zip Code:73573-0090
Practice Address - Country:US
Practice Address - Phone:580-228-2344
Practice Address - Fax:580-228-3410
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-01
Last Update Date:2017-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK371311Medicare Oscar/Certification