GREAT PLAINS REGIONAL MEDICAL CENTER (NPI# 1114392875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114392875 |
| Entity Type | Organization |
| Organization Name | GREAT PLAINS REGIONAL MEDICAL CENTER |
| Practice Address |
1801 W 3rd St Elk City OK 73644-5145 |
| Mailing Address |
11083 N 1970 Rd Elk City OK 73644-6412 |
| Practice Telephone | 5802252511 |
| Mailing Telephone | 5803391139 |
| Enumeration Date | 2015-12-07 |
| Last Update Date | 2015-12-07 |
| Authorized Official Name | COREY LIVELY (CEO) |
| Authorized Official Telephone | 5802252511 |
| Authorized Official Credential | CEO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NW0100X |
General Acute Care Hospital Specialization: Women |
99035 | OK | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699804708 | Great Plains Regional Medical Center | Pharmacy | 825 Sooner Dr., Burns Flat, OK 73624 | 2007-03-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | GREAT PLAINS REGIONAL MEDICAL CENTER | 1801 W 3rd St, Elk City, OK 73644-5145 |
| Street Address |
1801 W 3RD ST |
| City | ELK CITY |
| State | OK |
| Zip Code | 73644-5145 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346263118 | Paul D Roesler | Anesthesiology | 1801 W 3rd St, Elk City, OK 73644-5145 | 2006-07-25 |
| 1275017766 | Prime Physician Staffing Pllc | Hospitalist | 1801 W 3rd St, Elk City, OK 73644-5145 | 2018-09-20 |
| 1063990901 | Farmers Union Hospital Association | Rehabilitation Practitioner | 1801 W 3rd St, Elk City, OK 73644-5145 | 2018-08-02 |
| 1427554500 | Dana Gayle Riley | Pharmacist | 1801 W 3rd St, Elk City, OK 73644-5145 | 2018-04-05 |
| 1265931612 | Farmers Union Hospital Association | Pharmacy | 1801 W 3rd St, Elk City, OK 73644-5145 | 2018-02-12 |
| 1881102614 | Western Oklahoma Anesthesia Consultants Pllc | Anesthesiology | 1801 W 3rd St, Elk City, OK 73644-5145 | 2018-01-15 |
| 1417464678 | Theresa Garner | Pharmacist | 1801 W 3rd St, Elk City, OK 73644-5145 | 2018-01-09 |
| 1639529043 | Jeff Hopkins Anesthesia Services Pllc | Nurse Anesthetist, Certified Registered | 1801 W 3rd St, Elk City, OK 73644-5145 | 2016-06-16 |
| 1932573490 | Lela Cupp | Advanced Practice Midwife | 1801 W 3rd St, Elk City, OK 73644-5145 | 2015-11-20 |
| 1780958090 | Western Gastrointestinal Assoc | Internal Medicine | 1801 W 3rd St, Elk City, OK 73644-5145 | 2012-03-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700259918 | Marco Chavez | Peer Specialist | 2032 W. 7th Place, Elk City, OK 73644 | 2015-11-10 |
| 1932588811 | Erin Marie Sloan | Family Medicine | 1710 W 3rd St Ste 102, Elk City, OK 73644 | 2015-05-25 |
| 1649521568 | Michael Robinson Medical Clinic, LLC | Family Medicine | 1900 W. 2nd St, Suite A, Elk City, OK 73644 | 2012-10-02 |
| 1780913129 | Kathi Lee Henderson | Clinical Nurse Specialist | 1513 N Randall Ave, Elk City, OK 73644 | 2009-12-14 |
| 1700018330 | Tiffany Dawn Dupree | Obstetrics & Gynecology | 1800 West 1st, Suite 101, Elk City, OK 73644 | 2009-08-16 |
| 1538331483 | Farrina Steel | Community Health Worker | 3080 W. 3rd Street, Elk City, OK 73644 | 2008-04-01 |
| 1851586622 | Billy Charles Spurlock | Chiropractor | 1521 W 3rd St, Elk City, OK 73644 | 2007-09-13 |
| 1073736096 | Bruce Daniel Storm Jr. | Dentist | 300 N Garrett, Elk City, OK 73644 | 2007-04-10 |
| 1578681698 | Tiffany Shook | Case Manager/Care Coordinator | 306 Maverick Lane, Elk City, OK 73644 | 2007-03-27 |
| 1720152614 | Diversified Family Services Inc | Community/Behavioral Health | 1021 E Hwy 66, Elk City, OK 73644 | 2006-11-20 |
| Find all providers in zip 73644 | ||||
| Taxonomy Code | 282NW0100X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Women |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396978854 | Osu Medical Center | General Acute Care Hospital | 2909 S Peoria Ave, Tulsa, OK 74114-5317 | 2009-09-01 |
| 1578944021 | Integris Baptist Medical Center | General Acute Care Hospital | 3300 Nw Expressway, Oklahoma City, OK 73112-4418 | 2015-06-10 |
| 1770814121 | University of Oklahoma | General Acute Care Hospital | 4502 E 41st St, Tulsa, OK 74135-9923 | 2010-01-25 |
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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.