Provider Demographics
NPI:1710165626
Name:RHA ANADARKO INC
Entity Type:Organization
Organization Name:RHA ANADARKO INC
Other - Org Name:PHYSICIANS HOSPITAL IN ANADARKO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPERATIONS COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:BRANDICE
Authorized Official - Middle Name:
Authorized Official - Last Name:WALTERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-517-5719
Mailing Address - Street 1:PO BOX 12893
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73157-2893
Mailing Address - Country:US
Mailing Address - Phone:405-917-0300
Mailing Address - Fax:
Practice Address - Street 1:1002 E CENTRAL BLVD
Practice Address - Street 2:
Practice Address - City:ANADARKO
Practice Address - State:OK
Practice Address - Zip Code:73005-4496
Practice Address - Country:US
Practice Address - Phone:405-247-2551
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-01
Last Update Date:2020-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2216282NC0060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK37Z314Medicare Oscar/Certification
OK400522278Medicare PIN