OKMULGEE MEMORIAL HOSPITAL, INC (NPI# 1083616221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083616221 |
| Entity Type | Organization |
| Organization Name | OKMULGEE MEMORIAL HOSPITAL, INC |
| Other Organization Name | OKMULGEE MEMORIAL HOSPITAL |
| Practice Address |
1401 Morris Drive Okmulgee OK 74447-6429 |
| Mailing Address |
Po Box 1038 Okmulgee OK 74447-1038 |
| Practice Telephone | 9187564233 |
| Practice Fax Number | 9187565968 |
| Mailing Telephone | 9187564233 |
| Mailing Fax Number | 9187565968 |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2013-01-07 |
| Authorized Official Name | MRS. SHARON RENEE RIKER (DIRECTOR/IT) |
| Authorized Official Telephone | 9187583135 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 2165 | OK | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | BLUE CROSS | 000370057001 | 01 |
| OK | 100260940A | 05 | |
| OK | 100700360B | 05 | |
| OK | 106260940A | 05 |
| Other Name | Type Code |
|---|---|
| Okmulgee Memorial Hospital | Doing Business As Name - Organization |
| Street Address |
1401 MORRIS DRIVE |
| City | OKMULGEE |
| State | OK |
| Zip Code | 74447-6429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831191543 | Omh Home Health | Home Health | 1401 Morris Drive, Okmulgee, OK 74447-6429 | 2005-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932718376 | David Louis Holden | Counselor | 1803 W Wood Drive, Okmulgee, OK 74447 | 2020-07-30 |
| 1972097657 | Impact Rehab Consultants | Occupational Therapist | 114 West 7th Street, Okmulgee, OK 74447 | 2018-06-18 |
| 1992192504 | Taquia Bagby | Counselor | 1117 Martin L King Dr., Okmulgee, OK 74447 | 2015-04-21 |
| 1174935886 | Heather Houser | Case Manager/Care Coordinator | 1803 South Wood Drive, Okmuglee, OK 74447 | 2014-05-29 |
| 1376977066 | Anita Kaye Stallings | Case Manager/Care Coordinator | 1018 E 2nd St, Okmulgee, OK 74447 | 2013-08-29 |
| 1013283209 | Megan Breffney Wilson | Family Medicine | 112 West 5th Street, Okmulgee, OK 74447 | 2012-04-01 |
| 1245475466 | Mary Jones | Counselor | 323 W 6th Street, Okmulgee, OK 74447 | 2008-12-03 |
| 1881872182 | State of Oklahoma | Skilled Nursing Facility | 900 E. Airport Rd., Okmulgee, OK 74447 | 2008-02-08 |
| 1053539965 | Shannon Michelle Allison | Physical Therapist | 900 E. Airport Road, Okmulgee, OK 74447 | 2007-04-23 |
| 1023233772 | Ky Joel Kiger | Physical Therapist | 900 East Airport Road, Okmulgee, OK 74447 | 2007-04-16 |
| Find all providers in zip 74447 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720637093 | Shawn Hall | General Acute Care Hospital | 1401 Morris Dr, Okmulgee, OK 74447-6429 | 2019-09-09 |
| 1689061947 | Creek Nation Hospital & Clinics | General Acute Care Hospital | 1401 Morris Dr, Okmulgee, OK 74447-6429 | 2015-04-23 |
| 1861889123 | Creek Nation Hospital & Clinics | General Acute Care Hospital | 1401 Morris Dr, Okmulgee, OK 74447-6429 | 2015-04-23 |
| 1598152860 | Creek Nation Hospital & Clinics | General Acute Care Hospital | 1401 Morris Dr, Okmulgee, OK 74447-6429 | 2015-04-23 |
| 1407243777 | Creek Nation Hospital & Clinics | General Acute Care Hospital | 1401 Morris Dr, Okmulgee, OK 74447-6429 | 2015-04-23 |
| 1376946608 | Creek Nation Hospital & Clinics | General Acute Care Hospital | 1401 Morris Dr, Okmulgee, OK 74447-6429 | 2014-10-01 |
| 1033511480 | Creek Nation Hospital & Clinics | General Acute Care Hospital | 1401 Morris Dr, Okmulgee, OK 74447-6429 | 2014-09-17 |
| 1902236573 | Creek Nation Hospital & Clinics | General Acute Care Hospital | 1401 Morris Dr, Okmulgee, OK 74447-6429 | 2013-11-19 |
| 1790115426 | Creek Nation Hospital & Clinics | General Acute Care Hospital | 1401 Morris Dr, Okmulgee, OK 74447-6429 | 2013-11-15 |
| 1376972471 | Creek Nation Hospital & Clinics | General Acute Care Hospital | 1401 Morris Dr, Okmulgee, OK 74447-6429 | 2013-11-08 |
| Find all providers in OKMULGEE | ||||
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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.