Provider Demographics
NPI:1699211474
Name:DUNCAN REGIONAL HOSPITAL INC
Entity Type:Organization
Organization Name:DUNCAN REGIONAL HOSPITAL INC
Other - Org Name:RYAN FAMILY CARE
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 157
Mailing Address - Street 2:
Mailing Address - City:RYAN
Mailing Address - State:OK
Mailing Address - Zip Code:73565-0157
Mailing Address - Country:US
Mailing Address - Phone:580-757-2451
Mailing Address - Fax:
Practice Address - Street 1:1104 6TH ST
Practice Address - Street 2:
Practice Address - City:RYAN
Practice Address - State:OK
Practice Address - Zip Code:73565-9549
Practice Address - Country:US
Practice Address - Phone:580-757-2451
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-17
Last Update Date:2017-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK373979Medicare Oscar/Certification