Provider Demographics
NPI:1942757554
Name:SEILING MUNICIPAL HOSPITAL AUTHORITY
Entity Type:Organization
Organization Name:SEILING MUNICIPAL HOSPITAL AUTHORITY
Other - Org Name:SMH SPECIALTY CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:COONS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:580-922-7361
Mailing Address - Street 1:PO BOX 720
Mailing Address - Street 2:
Mailing Address - City:SEILING
Mailing Address - State:OK
Mailing Address - Zip Code:73663-0720
Mailing Address - Country:US
Mailing Address - Phone:580-922-7361
Mailing Address - Fax:580-922-7360
Practice Address - Street 1:809 NE HWY 60
Practice Address - Street 2:
Practice Address - City:SEILING
Practice Address - State:OK
Practice Address - Zip Code:73663
Practice Address - Country:US
Practice Address - Phone:580-922-7361
Practice Address - Fax:580-922-7360
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-01
Last Update Date:2016-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty