ARBUCKLE MEMORIAL HOSPITAL (NPI# 1194023911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194023911 |
Entity Type | Organization |
Organization Name | ARBUCKLE MEMORIAL HOSPITAL |
Other Organization Name | ARBUCKLE CLINIC AT SULPHUR |
Practice Address |
2007 W Broadway Ave Sulphur OK 73086-4221 |
Mailing Address |
2011 W Broadway Ave Sulphur OK 73086-4221 |
Practice Telephone | 5806223511 |
Practice Fax Number | 5806223513 |
Mailing Telephone | 5806223511 |
Mailing Fax Number | 5806223513 |
Enumeration Date | 2011-03-02 |
Last Update Date | 2011-03-09 |
Authorized Official Name | DR. RYAN ODEN (DOCTOR) |
Authorized Official Telephone | 5806223511 |
Authorized Official Credential | DO |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
OK | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OK | 100700790H | 05 |
Other Name | Type Code |
---|---|
ARBUCKLE CLINIC AT SULPHUR | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700869492 | Arbuckle Memorial Hospital | General Acute Care Hospital | 2011 W Broadway Ave, Sulphur, OK 73086-4221 | 2005-11-28 |
1730541673 | Arbuckle Memorial Hospital | Clinic/Center | 2011 W Broadway Ave, Sulphur, OK 73086 | 2016-03-21 |
1013215839 | Arbuckle Memorial Hospital | Clinic/Center | 610 E Main St, Davis, OK 73030-1912 | 2011-03-02 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | ARBUCKLE MEMORIAL HOSPITAL | 2011 W Broadway Ave, Sulphur, OK 73086-4221 |
Street Address |
2007 W BROADWAY AVE |
City | SULPHUR |
State | OK |
Zip Code | 73086-4221 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255486403 | Joe Bill Dressler | Emergency Medicine | 2007 W Broadway Ave, Sulphur, OK 73086-4221 | 2007-01-25 |
1659538734 | Ryan William Oden | Family Medicine | 2007 W Broadway Ave, Sulphur, OK 73086-4221 | 2008-05-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124680079 | Arbuckle Chiropractic LLC | Chiropractor | 1500 W. 1st St, Sulphur, OK 73086 | 2019-07-01 |
1205959046 | Teresa Truelock | Contractor | 606 Circle Top Dr., Sulphur, OK 73086 | 2007-04-09 |
1215021894 | Diane Michele Rowe | Pharmacist | 815 W. Broadway, Sulphur, OK 73086 | 2006-10-03 |
1538260872 | Shaun E Swartz II | Pharmacy Technician | 1603 West 14th, Sulphur, OK 73086 | 2006-09-26 |
1154428696 | David R Pittman | Pharmacist | 815 West Broadway, Sulphur, OK 73086 | 2006-09-19 |
1730541673 | Arbuckle Memorial Hospital | Clinic/Center | 2011 W Broadway Ave, Sulphur, OK 73086 | 2016-03-21 |
1073957049 | Brandon S Drabek | Family Medicine | 2011 W Broadway Ave, Sulphur, OK 73086 | 2013-04-22 |
1699858134 | Sooner Pharmacy | Pharmacist | 815 West Broadway, Sulphur, OK 73086 | 2006-10-20 |
1811058589 | Evan Lee Bragg | Optometrist | 1010 West 3rd St, Sulphur, OK 73086-0499 | 2006-12-13 |
1265719850 | Wendie Renea Butts | Counselor | 3183 W 14th St, Sulphur, OK 73086-1117 | 2011-11-09 |
Find all providers in zip 73086 |
Taxonomy Code | 261QM2500X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Medical Specialty |
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
Notes: [7/1/2003: new] |
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1184271793 | Healthy Skin Dermatology of Oklahoma Pllc | Clinic/Center | 13933 Technology Dr Ste B, Oklahoma City, OK 73134-1053 | 2019-08-20 |
1922572809 | Endovascular Consulting Solutions | Clinic/Center | 1705 E 19th St Ste 410, Tulsa, OK 74104-5415 | 2019-01-14 |
1831610641 | Scot A Sullivan Md PC | Clinic/Center | 2020 E 15th St Ste B, Edmond, OK 73013-6749 | 2017-06-30 |
1053862102 | Okc Neurology-catherine E Porter Md, Pllc | Clinic/Center | 6701 W Hefner Rd Ste B, Oklahoma City, OK 73162-4706 | 2016-10-24 |
1730584509 | Digital Diagnostic Solutions LLC | Clinic/Center | 5017 S Frontage Road, Tulsa, OK 74107-8976 | 2014-10-23 |
1891102331 | Panhandle Counseling and Health Center, Inc. | Clinic/Center | 5170 Patricia Blvd, Guymon, OK 73942-0000 | 2014-07-16 |
1922350719 | Allergy Arts of Oklahoma Pllc | Clinic/Center | 3300 Nw 56th St Ste 100, Oklahoma City, OK 73112-4538 | 2012-10-04 |
1255699112 | Meghan E. Scears, Md, Pllc | Clinic/Center | 808 24th Ave Nw Ste 202, Norman, OK 73069-6204 | 2012-04-30 |
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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.