Provider Demographics
NPI:1902170921
Name:MCALESTER SCOTTISH RITE CHARITABLE AND EDUCATIONAL FOUNDATION
Entity Type:Organization
Organization Name:MCALESTER SCOTTISH RITE CHARITABLE AND EDUCATIONAL FOUNDATION
Other - Org Name:MCALESTER RITECARE CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:GENERAL SECRETARY
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:ALLFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-423-6360
Mailing Address - Street 1:305 N. 2ND ST
Mailing Address - Street 2:
Mailing Address - City:MCALESTER
Mailing Address - State:OK
Mailing Address - Zip Code:74502-0609
Mailing Address - Country:US
Mailing Address - Phone:918-426-2300
Mailing Address - Fax:918-423-6362
Practice Address - Street 1:305 N. 2ND ST
Practice Address - Street 2:
Practice Address - City:MCALESTER
Practice Address - State:OK
Practice Address - Zip Code:74502-0609
Practice Address - Country:US
Practice Address - Phone:918-426-2300
Practice Address - Fax:918-423-6362
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-08
Last Update Date:2012-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech