Provider Demographics
NPI:1982955597
Name:MCALESTER REGIONAL HEALTH CENTER
Entity Type:Organization
Organization Name:MCALESTER REGIONAL HEALTH CENTER
Other - Org Name:MRHC CLINICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:KEITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-426-1800
Mailing Address - Street 1:1 E CLARK BASS BLVD
Mailing Address - Street 2:
Mailing Address - City:MCALESTER
Mailing Address - State:OK
Mailing Address - Zip Code:74501-4209
Mailing Address - Country:US
Mailing Address - Phone:918-426-1800
Mailing Address - Fax:918-421-8066
Practice Address - Street 1:2 E CLARK BASS BLVD
Practice Address - Street 2:SUITE 302
Practice Address - City:MCALESTER
Practice Address - State:OK
Practice Address - Zip Code:74501-4282
Practice Address - Country:US
Practice Address - Phone:918-421-1800
Practice Address - Fax:918-421-8066
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-21
Last Update Date:2012-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty