Provider Demographics
NPI:1972780252
Name:PURCELL MUNICIPAL HOSPITAL
Entity Type:Organization
Organization Name:PURCELL MUNICIPAL HOSPITAL
Other - Org Name:MAYSVILLE MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BUSINESS OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:L
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-527-2216
Mailing Address - Street 1:PO BOX 660
Mailing Address - Street 2:
Mailing Address - City:MAYSVILLE
Mailing Address - State:OK
Mailing Address - Zip Code:73057-0660
Mailing Address - Country:US
Mailing Address - Phone:405-867-4404
Mailing Address - Fax:
Practice Address - Street 1:504 WILLIAMS
Practice Address - Street 2:
Practice Address - City:MAYSVILLE
Practice Address - State:OK
Practice Address - Zip Code:73057
Practice Address - Country:US
Practice Address - Phone:405-867-4404
Practice Address - Fax:405-867-4520
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PURCELL MUNICIPAL HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-01-29
Last Update Date:2008-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NR1301XHospitalsGeneral Acute Care HospitalRural