Provider Demographics
NPI:1356361232
Name:BHC
Entity type:Organization
Organization Name:BHC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER-CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:VICKI
Authorized Official - Middle Name:S
Authorized Official - Last Name:SCHAFF
Authorized Official - Suffix:
Authorized Official - Credentials:CHIEF OPERATING OFFI
Authorized Official - Phone:918-689-2535
Mailing Address - Street 1:P.O. BOX 629
Mailing Address - Street 2:ONE HOSPITAL DRIVE
Mailing Address - City:EUFAULA
Mailing Address - State:OK
Mailing Address - Zip Code:74432
Mailing Address - Country:US
Mailing Address - Phone:918-689-2535
Mailing Address - Fax:918-689-7285
Practice Address - Street 1:1 HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:EUFAULA
Practice Address - State:OK
Practice Address - Zip Code:74432-4010
Practice Address - Country:US
Practice Address - Phone:918-689-2535
Practice Address - Fax:918-689-7285
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-20
Last Update Date:2010-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK207PE0004X
OK2181282NR1301X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes282NR1301XHospitalsGeneral Acute Care HospitalRural
No207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical ServicesGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OKCD8521OtherRAILROAD MEDICARE
OK370169Medicare ID - Type Unspecified
OKE37016901Medicare PIN