SOUTHERN PLAINS MEDICAL CENTER, INC (NPI# 1184137804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184137804 |
| Entity Type | Organization |
| Organization Name | SOUTHERN PLAINS MEDICAL CENTER, INC |
| Other Organization Name | MAYSVILLE HEALTH APRN-CNP |
| Practice Address |
504 Williams Maysville OK 73057-3679 |
| Mailing Address |
2222 W Iowa Ave Chickasha OK 73018-2738 |
| Practice Telephone | 5802475936 |
| Mailing Telephone | 4052248111 |
| Enumeration Date | 2017-11-16 |
| Last Update Date | 2019-01-04 |
| Authorized Official Name | LEN LACEFIELD (CEO) |
| Authorized Official Telephone | 4054546058 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
108875 | OK | Ambulatory Health Care Facilities |
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities | ||
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Maysville Health APRN-CNP | Doing Business As Name - Organization |
| Maysville Health Clinic | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962469098 | Southern Plains Medical Center, Inc | Clinic/Center | 2222 West Iowa Avenue, Chickasha, OK 73018-2738 | 2006-05-01 |
| 1407328032 | Southern Plains Medical Center, Inc | Family Medicine | 106 Burr Ave, Pauls Valley, OK 73075-3848 | 2018-12-20 |
| 1215406103 | Southern Plains Medical Center, Inc | Family Medicine | 101 N Carter St, Pauls Valley, OK 73075-9811 | 2018-11-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SOUTHERN PLAINS MEDICAL CENTER, INC. | 2222 W Iowa Ave, Chickasha, OK 73018-2738 |
| Street Address |
504 WILLIAMS |
| City | MAYSVILLE |
| State | OK |
| Zip Code | 73057-3679 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972780252 | Purcell Municipal Hospital | General Acute Care Hospital | 504 Williams, Maysville, OK 73057 | 2008-01-29 |
| 1598306938 | Maria Colmenarez-morales | Nurse Practitioner | 504 Williams, Maysville, OK 73057-3679 | 2019-10-07 |
| 1366940900 | Hollie Brumley | Massage Therapist | 504 Williams, Maysville, OK 73057-3679 | 2018-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598964637 | Purcell Municipal Hospital | General Acute Care Hospital | 504 Williams Street, Maysville, OK 73057-0660 | 2007-07-17 |
| 1205960069 | Connie Ann Martin | Social Worker | R# 2 Box 119 A, Maysville, OK 73057-0842 | 2007-03-15 |
| 1386169555 | Kasi Che'don Jones | Nurse Practitioner | 504 Williams Drive, Maysville, OK 73057-3679 | 2017-08-09 |
| 1881769487 | Jack Justice | Pharmacy | 500 Williams, Maysville, OK 73057-3679 | 2006-11-21 |
| 1164417739 | Patty Janelle Potts | Pharmacist | 500 Williams St, Jacks Rx, Maysville, OK 73057-9547 | 2005-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053911065 | Ashley Renee Smith | Nurse Practitioner | 8367 Stonelick Rd, Maysville, KY 41056-9432 | 2020-10-28 |
| 1649886987 | Patricia Long | Technician | 61 Barger Holw, Maysville, WV 26833-8658 | 2020-09-22 |
| 1154935617 | Kenton Pointe LLC | Assisted Living Facility | 1455 Kenton Pointe Way, Maysville, KY 41056-1195 | 2020-09-02 |
| 1649883711 | Susan Ann Thorne | Technician | 1380 Big Run Rd, Maysville, WV 26833 | 2020-08-28 |
| 1437762895 | Kathryn Haire | Dentist | 507 Market Place Drive, Maysville, KY 41056 | 2020-08-26 |
| 1649882598 | Ronna Lynn Goldizen | Technician | 138 Big Run Rd, Maysville, WV 26833-8672 | 2020-08-21 |
| 1770195968 | Chassidy George | Technician | 10 Lois Ln, Maysville, WV 26833-7618 | 2020-08-19 |
| 1174135511 | Linda Vanmeter | Technician | 533 High Valley Way, Maysville, WV 26833-7000 | 2020-08-18 |
| 1639780372 | Crystal Lynn Harvey-rexroad | Technician | 130 Sugarcamp Dr, Maysville, WV 26833-8633 | 2020-08-15 |
| 1134730328 | Aleisha Diann Goldizen | Technician | 214 Sugarcamp Dr, Maysville, WV 26833-8634 | 2020-08-12 |
| Find all providers in MAYSVILLE | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093188807 | Cameron Regional Medical Center Inc | Clinic/Center | 1007 S Polk St, Maysville, MO 64469-4030 | 2015-11-03 |
| 1821135518 | Meadowview Regional Medical Center LLC | Clinic/Center | 989 Medical Park Dr, Maysville, KY 41056-8750 | 2007-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386245744 | Baptist Healthcare of Oklahoma, LLC | Clinic/Center | 310 2nd Ave Sw Stes 101, 102, 103, 104, 106a, 106b, 107a, 107b, 203, 207 & 208, Miami, OK 74354-6743 | 2020-11-03 |
| 1275133993 | Integris Grove Hospital | Clinic/Center | 216 S 7th St Ste 1, Vinita, OK 74301-3720 | 2020-10-30 |
| 1205436938 | Integris Bass Baptist Health Center | Clinic/Center | 1805 W Owen K Garriott Rd, Enid, OK 73703-5526 | 2020-10-30 |
| 1699385278 | Verdigris Valley Family Medicine LLC | Clinic/Center | 25965 S Highway 66 Ste B, Claremore, OK 74019-2468 | 2020-08-07 |
| 1538798897 | Stillwater Medical Center Authority | Clinic/Center | 1411 W 7th Ave Ste 201, Stillwater, OK 74074-4300 | 2020-04-07 |
| 1275161457 | Drumright Community Hospital LLC | Clinic/Center | 612 W Bypass, Drumright, OK 74030-5957 | 2020-04-01 |
| 1982237244 | Stillwater Medical Center Authority | Clinic/Center | 1116 Manvel Ave, Chandler, OK 74834-3856 | 2020-02-14 |
| 1366075616 | Stillwater Medical Center Authority | Clinic/Center | 505 E Highway 33, Perkins, OK 74059-4520 | 2020-02-14 |
| 1336772680 | Stillwater Medical Center Authority | Clinic/Center | 518 E Lakeview Rd, Stillwater, OK 74075-2825 | 2020-02-14 |
| 1447883780 | Stillwater Medical Center Authority | Clinic/Center | 600 S Linwood Ave Ste A, Cushing, OK 74023-4630 | 2020-02-14 |
| 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.