Provider Demographics
NPI:1801003934
Name:VALLEY VIEW REGIONAL HOSPITAL
Entity Type:Organization
Organization Name:VALLEY VIEW REGIONAL HOSPITAL
Other - Org Name:MEDICAL CENTER OF STRATFORD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:E
Authorized Official - Last Name:KRAUSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:580-421-1412
Mailing Address - Street 1:PO BOX 850
Mailing Address - Street 2:
Mailing Address - City:STRATFORD
Mailing Address - State:OK
Mailing Address - Zip Code:74872-0850
Mailing Address - Country:US
Mailing Address - Phone:580-759-2336
Mailing Address - Fax:580-332-0383
Practice Address - Street 1:217 WEST SMITH ST
Practice Address - Street 2:
Practice Address - City:STRATFORD
Practice Address - State:OK
Practice Address - Zip Code:74872-0001
Practice Address - Country:US
Practice Address - Phone:580-759-2336
Practice Address - Fax:580-332-0383
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-17
Last Update Date:2010-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK261QR1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100728840HMedicaid
OK373445Medicare Oscar/Certification