JANE PHILLIPS MEMORIAL MEDICAL CENTER, INC (NPI# 1053456111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053456111 |
| Entity Type | Organization |
| Organization Name | JANE PHILLIPS MEMORIAL MEDICAL CENTER, INC |
| Practice Address |
3500 E Frank Phillips Blvd Bartlesville OK 74006-2411 |
| Practice Telephone | 9183337200 |
| Practice Fax Number | 9183311447 |
| Mailing Telephone | 9183337200 |
| Mailing Fax Number | 9183311447 |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2008-05-22 |
| Authorized Official Name | MIKE A. MOORE (CFO) |
| Authorized Official Telephone | 9183311644 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273Y00000X | Rehabilitation Unit | 2190 | OK | Hospital Units |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225177140 | Jane Phillips Memorial Medical Center, Inc | Pharmacy | 800 W Laurel St, Independence, KS 67301-3211 | 2007-02-06 |
| Street Address |
3500 E FRANK PHILLIPS BLVD |
| City | BARTLESVILLE |
| State | OK |
| Zip Code | 74006-2411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376544858 | Erin S Claiborne | Pharmacist | 3500 E Frank Phillips Blvd, Bartlesville, OK 74006-2411 | 2005-08-09 |
| 1346887601 | Jennifer Caroline Rademacher | Physical Therapist | 3500 E Frank Phillips Blvd, Bartlesville, OK 74006-2411 | 2019-12-05 |
| 1730631912 | Kelsey Riebel | Physician Assistant | 3500 E Frank Phillips Blvd, Bartlesville, OK 74006-2411 | 2016-11-03 |
| 1750830147 | Brittaney Huddleston | Occupational Therapist | 3500 E Frank Phillips Blvd, Bartlesville, OK 74006-2411 | 2016-09-26 |
| 1265893044 | Brenda Ann Volz | Registered Nurse | 3500 E Frank Phillips Blvd, Bartlesville, OK 74006-2411 | 2016-03-08 |
| 1427428986 | Jane Phillips Memorial Medical Center, Inc. | Medicare Defined Swing Bed Unit | 3500 E Frank Phillips Blvd, Bartlesville, OK 74006-2411 | 2015-09-28 |
| 1841695962 | Jerusha Marie Coward | Pharmacist | 3500 E Frank Phillips Blvd, Bartlesville, OK 74006-2411 | 2014-10-31 |
| 1326443565 | Jane Phillips Memorial Medical Center Inc | Pharmacy | 3500 E Frank Phillips Blvd, Bartlesville, OK 74006-2411 | 2014-10-30 |
| 1760882427 | Ashley Gilliland | Nurse Practitioner | 3500 E Frank Phillips Blvd, Bartlesville, OK 74006-2411 | 2014-09-01 |
| 1720499585 | Merry Margaret Huber | Clinical Nurse Specialist | 3500 E Frank Phillips Blvd, Bartlesville, OK 74006-2411 | 2014-05-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124646252 | Ntcob LLC | Family Medicine | 234 Se De Bell Ave, Bartlesville, OK 74006 | 2020-07-06 |
| 1053936815 | Priscella Ann Caron | Nurse Practitioner | 226 Se De Bell Ave Building B, Bartlesville, OK 74006 | 2020-06-08 |
| 1508390840 | Megan Christopher | Student in an Organized Health Care Education/Training Program | 3400 Se Frank Phillips Blvd, Suite 502, Bartlesville, OK 74006 | 2017-04-13 |
| 1518339811 | Dori Raycob | Registered Nurse | 3400 Se Frank Phillips Blvd Suite 300, Bartlesville, OK 74006 | 2015-10-26 |
| 1023487436 | Katherine Marie Anderson | Nurse Practitioner | 3500 Sw Frank Phillips, Bartlesville, OK 74006 | 2015-09-16 |
| 1033593207 | Quanisha Roberson | Clinical Nurse Specialist | 226 Se De Bell Avenue, Building A, Suite 101, Bartlesville, OK 74006 | 2015-07-16 |
| 1588064604 | Vance Wayne Blackwell Jr. | Counselor | 2200 Se Washinton Blvd., Bartlesville, OK 74006 | 2014-08-26 |
| 1619314937 | Scott Ethan Sonico | Dentist | 1224 Se Washington Blvd, Bartlesville, OK 74006 | 2013-05-28 |
| 1417229485 | Vernon Lee Newby | Veterinarian | 817 Madison Blvd., Bartlesville, OK 74006 | 2012-02-06 |
| 1306083720 | Sherry M Wilson | Counselor | 3925-g Frank Phillips Blvd., Bartlesville, OK 74006 | 2009-01-08 |
| Find all providers in zip 74006 | ||||
| Taxonomy Code | 273Y00000X |
| Grouping | Hospital Units |
| Classification | Rehabilitation Unit |
| In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient’s condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient’s medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services. |
| Notes: Source: Code of Federal Regulations #42, Section 412.29. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740716018 | Jai Shree Hanuman, LLC | Rehabilitation Unit | 6101 N Santa Fe Ave, Oklahoma City, OK 73118-7526 | 2017-05-05 |
| 1659398618 | Comanche County Healthcare Corporation Dba Center for Occupational Hea | Rehabilitation Unit | 602 Se Wallock St, Lawton, OK 73501-5444 | 2006-07-16 |
| 1023064300 | Brookhaven Hospital Inc. | Rehabilitation Unit | 201 S Garnett Rd, Tulsa, OK 74128 | 2006-05-26 |
| 1033113097 | St. Anthony Shawnee Hospital, Inc | Rehabilitation Unit | 1900 S Gordon Cooper Dr, Shawnee, OK 74801 | 2005-06-08 |
| 1831663657 | Integris Baptist Medical Center, Inc | Rehabilitation Unit | 5501 N Portland Ave, Oklahoma City, OK 73112-2074 | 2019-01-15 |
| 1306381561 | Saint Francis Hospital Muskogee Inc | Rehabilitation Unit | 300 Rockefeller Dr, Muskogee, OK 74401-5075 | 2016-12-27 |
| 1932442019 | Mercy Hospital Ada, Inc | Rehabilitation Unit | 430 N Monte Vista St, Ada, OK 74820-4610 | 2013-03-27 |
| 1811193964 | Linda Sue Church | Rehabilitation Unit | 3401 W Gore Blvd, Lawton, OK 73505-6332 | 2007-06-25 |
| 1003039488 | Saint Francis Hospital, Inc. | Rehabilitation Unit | 6161 S Yale Ave, Tulsa, OK 74136-1902 | 2007-04-11 |
| 1083757926 | Muskogee Regional Medical Center LLC | Rehabilitation Unit | 300 Rockefeller Dr, Muskogee, OK 74401-5075 | 2007-02-14 |
| Find all providers with the same taxonomy | ||||
| City | BARTLESVILLE |
| Zip Code | 74006 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.