Provider Demographics
NPI:1649251331
Name:DUNCAN REGIONAL HOSPITAL, INC
Entity type:Organization
Organization Name:DUNCAN REGIONAL HOSPITAL, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:DOUG
Authorized Official - Middle Name:
Authorized Official - Last Name:VOLINSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:580-251-8554
Mailing Address - Street 1:1620 W JONES AVE
Mailing Address - Street 2:
Mailing Address - City:DUNCAN
Mailing Address - State:OK
Mailing Address - Zip Code:73533-1704
Mailing Address - Country:US
Mailing Address - Phone:580-251-8752
Mailing Address - Fax:580-251-8757
Practice Address - Street 1:1620 W JONES AVE
Practice Address - Street 2:
Practice Address - City:DUNCAN
Practice Address - State:OK
Practice Address - Zip Code:73533-1704
Practice Address - Country:US
Practice Address - Phone:580-251-8752
Practice Address - Fax:580-251-8757
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DUNCAN REGIONAL HOSPITAL INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-11-09
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK7108251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100700120DMedicaid
OK100700120DMedicaid