NEWMAN MEMORIAL HOSPITAL, INC (NPI# 1083617807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083617807 |
| Entity Type | Organization |
| Organization Name | NEWMAN MEMORIAL HOSPITAL, INC |
| Practice Address |
905 S Main St Shattuck OK 73858 |
| Mailing Address |
905 S Main St Shattuck OK 73858-9205 |
| Practice Telephone | 5809382551 |
| Practice Fax Number | 5809382615 |
| Mailing Telephone | 5809382551 |
| Mailing Fax Number | 5809382615 |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2020-05-14 |
| Authorized Official Name | MR. EDDIE JACKSON MAJORS (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 5809382551 |
| Authorized Official Credential | CEO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
2243 | OK | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100699360B | 05 | |
| OK | BLUE CROSS | 000370007001 | 01 |
| TX | 073846001 | 05 | |
| OK | 100699360A | 05 | |
| TX | 127341901 | 05 | |
| TX | 127341905 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821554734 | Newman Memorial Hospital, Inc | Family Medicine | 905 S Main St, Shattuck, OK 73858-9205 | 2019-02-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | NEWMAN MEMORIAL HOSPITAL, INC. | 905 S. Main, Shattuck, OK 73858 |
| Street Address |
905 S MAIN ST |
| City | SHATTUCK |
| State | OK |
| Zip Code | 73858 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124661624 | Hcc of Shattuck, LLC | Emergency Medicine | 905 S Main St, Shattuck, OK 73858-9205 | 2019-10-28 |
| 1821554734 | Newman Memorial Hospital, Inc | Family Medicine | 905 S Main St, Shattuck, OK 73858-9205 | 2019-02-15 |
| 1912478702 | Kristen Leigh Mills | Registered Nurse | 905 S Main St, Shattuck, OK 73858-9208 | 2018-12-06 |
| 1902278286 | Stuart Family Medicine, Pllc. | Family Medicine | 905 S Main St, Shattuck, OK 73858-9205 | 2015-10-26 |
| 1790994200 | John David Herber | Pharmacist | 905 S Main St, Shattuck, OK 73858-9205 | 2007-05-21 |
| 1366515926 | Newman Medical Center Pharmacy Inc | Pharmacy | 905 S Main St, Shattuck, OK 73858-9205 | 2006-11-15 |
| 1730252370 | John Rodney Cully | Pharmacist | 905 S Main St, Shattuck, OK 73858-9205 | 2006-11-15 |
| 1316054232 | Newman Physicians' Group, Inc. | Family Medicine | 905 S Main St, Shattuck, OK 73858-9205 | 2006-08-24 |
| 1205817285 | Gary Willis Mitchell | Pharmacist | 905 S Main St, Shattuck, OK 73858-9205 | 2005-11-08 |
| 1881683753 | Newman Memorial Hospital, Inc. | Medicare Defined Swing Bed Unit | 905 S Main St, Shattuck, OK 73858-9205 | 2005-10-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083999403 | Shandy Baggs | Nurse Practitioner | 404 S Main, Shattuck, OK 73858 | 2011-10-17 |
| 1730307943 | Robert Bradley Bunch | Registered Nurse | 905 South Main, Shattuck, OK 73858 | 2007-04-23 |
| 1811073208 | Kristen A Burris | Dentist | 1515 South Main Street, Shattuck, OK 73858 | 2006-10-27 |
| 1891716775 | Danna K Stuart | Family Medicine | 404 South Main Street, Shattuck, OK 73858 | 2006-07-23 |
| 1164722864 | Foundation Health & Wellness Institute PC | Clinic/Center | 404 S. Main St., Shattuck, OK 73858 | 2010-10-27 |
| 1285801324 | Kristen A Burris, D.d.s. L.L.C. | Dentist | 1515 South Main Street, Shattuck, OK 73858 | 2008-05-08 |
| 1245309095 | Scott Eye Care P L L C | Eyewear Supplier (Equipment, not the service) | 400 S Main St, Shattuck, OK 73858 | 2006-11-07 |
| 1285731596 | Kerie Bay | Pharmacist | 522 South Main Street, Shattuck, OK 73858-0099 | 2006-09-20 |
| 1942203070 | Ellis County Ems | Ambulance | 1201 E 1st, Shattuck, OK 73858-0591 | 2005-05-23 |
| 1407050560 | Jamie L Cameron | Dentist | 1515 S. Main St., Shattuck, OK 73858-0609 | 2007-06-13 |
| Find all providers in zip 73858 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285047779 | Cordell Hospital Authority | General Acute Care Hospital | 1109 N Glenn L. English St, Cordell, OK 73632-2010 | 2014-06-03 |
| 1083048417 | Mercy Hospital Kingfisher, Inc | General Acute Care Hospital | 1000 Kingfisher Regional Hospital Drive, Kingfisher, OK 73750 | 2013-08-21 |
| 1326352204 | Weatherford Hospital Authority | General Acute Care Hospital | 3727 Legacy, Weatherford, OK 73096 | 2010-08-03 |
| 1922329853 | Cah Acquisition Company 16 LLC | General Acute Care Hospital | 401 Nw H Street, Stigler, OK 74462 | 2010-06-15 |
| 1427295872 | Cleveland Area Hospital Holdings, Inc. | General Acute Care Hospital | 1401 West Pawnee, Cleveland, OK 74020 | 2009-01-07 |
| 1427234566 | Tulsa Hospitalists | General Acute Care Hospital | 15608 Traditions Dr, Edmond, OK 73013-1150 | 2008-01-19 |
| 1942486733 | Mercy Hospital of Pittsburgh | General Acute Care Hospital | 1100 N Lindsay Ave, Oklahoma City, OK 73104-5410 | 2008-01-11 |
| 1053447086 | Jane Phillips Nowata Health Center | General Acute Care Hospital | 237 S Locust St, Nowata, OK 74048-3660 | 2007-02-26 |
| 1073617619 | Seiling Municipal Hospital Authority | General Acute Care Hospital | Hwy 60, Ne, Seiling, OK 73663 | 2006-09-12 |
| 1497857437 | Roger Mills County Hospital Authority | General Acute Care Hospital | 501 S Ll Males Ave, Cheyenne, OK 73628-0219 | 2006-09-01 |
| Find all providers with the same taxonomy | ||||
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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.