Provider Demographics
NPI:1609818574
Name:DUNCAN REGIONAL HOSPITAL, INC
Entity Type:Organization
Organization Name:DUNCAN REGIONAL HOSPITAL, INC
Other - Org Name:CHISHOLM TRAIL HOSPICE
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 2000
Mailing Address - Street 2:
Mailing Address - City:DUNCAN
Mailing Address - State:OK
Mailing Address - Zip Code:73534-2000
Mailing Address - Country:US
Mailing Address - Phone:580-251-8764
Mailing Address - Fax:580-251-8760
Practice Address - Street 1:2150 W ELK AVE
Practice Address - Street 2:
Practice Address - City:DUNCAN
Practice Address - State:OK
Practice Address - Zip Code:73533-1857
Practice Address - Country:US
Practice Address - Phone:580-251-8764
Practice Address - Fax:580-251-8760
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-12
Last Update Date:2022-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4084251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK371553Medicare ID - Type Unspecified