STILLWATER MEDICAL CENTER AUTHORITY (NPI# 1255943114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255943114 |
Entity Type | Organization |
Organization Name | STILLWATER MEDICAL CENTER AUTHORITY |
Practice Address |
300 Boulder St Pawnee OK 74058-3801 |
Mailing Address |
Po Box 720006 Norman OK 73070-4006 |
Practice Telephone | 9187622522 |
Mailing Telephone | 4057425300 |
Enumeration Date | 2020-08-20 |
Last Update Date | 2020-08-20 |
Authorized Official Name | DENISE ADRIENNE WEBBER (CEO) |
Authorized Official Telephone | 4057425230 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Stillwater Medical Center Clinic of Pawnee | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538798897 | Stillwater Medical Center Authority | Clinic/Center | 1411 W 7th Ave Ste 201, Stillwater, OK 74074-4300 | 2020-04-07 |
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 |
1407937220 | Stillwater Medical Center Authority | Durable Medical Equipment & Medical Supplies | 1200 S Adams St, Stillwater, OK 74074 | 2006-10-18 |
1871567958 | Stillwater Medical Center Authority | Home Health | 1201 S. Adams, Stillwater, OK 74074-4225 | 2006-02-15 |
1457961567 | Stillwater Medical Center Authority | Clinic/Center | 1411 W 7th Ave Ste 102, Stillwater, OK 74074-4300 | 2020-08-04 |
1518577675 | Stillwater Medical Center Authority | Clinic/Center | 2340 E Main St, Cushing, OK 74023-2905 | 2020-08-04 |
1033748207 | Stillwater Medical Center Authority | Clinic/Center | 1201 S Adams St, Stillwater, OK 74074-5476 | 2020-04-08 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Oklahoma Business Registrations | STILLWATER MEDICAL CENTER AUTHORITY | 117 S Main St, Perkins, OK 74059 |
Street Address |
300 BOULDER ST |
City | PAWNEE |
State | OK |
Zip Code | 74058-3801 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235293846 | Ahs Oklahoma Physician Group, LLC | Family Medicine | 300 Boulder St, Pawnee, OK 74058-3801 | 2006-12-20 |
1891339107 | Advanced Eyecare Solutions Pllc | Optometrist | 300 Boulder St, Pawnee, OK 74058-3801 | 2019-10-30 |
1366799447 | Mindy Aleene Sargent | Physician Assistant | 300 Boulder St, Pawnee, OK 74058-3801 | 2012-08-08 |
1093060543 | Osu Center for Health Sciences | Clinic/Center | 300 Boulder St, Pawnee, OK 74058-3801 | 2012-07-20 |
1326103664 | Ahs Oklahoma Physician Group, LLC | Family Medicine | 300 Boulder St, Pawnee, OK 74058-3801 | 2006-12-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316214430 | Tonya L Houston | Nurse Practitioner | Pawnee Indian Health Center, 1201 Heritage Cir, Pawnee, OK 74058 | 2011-11-17 |
1659662153 | Christie Factor | Counselor | 540 Illinois, Pawnee, OK 74058 | 2011-05-02 |
1366476368 | Henry J Kaehler Jr Dds PC | Clinic/Center | 401 Forest St, Pawnee, OK 74058 | 2006-07-10 |
1003892621 | Brady Gene Englestead | Pediatrics | 1201 Heritage Circle, Pawnee, OK 74058 | 2005-12-15 |
1598039620 | Cah Acquisition Company 12 LLC | Clinic/Center | 535 6th St, Pawnee, OK 74058 | 2012-03-07 |
1639453665 | Creoks Mental Health Services | Community/Behavioral Health | 540 Illinois St, Pawnee, OK 74058 | 2011-10-10 |
1659473080 | Henry John Kaehler Jr. | Dentist | 401 Forest St, Pawnee, OK 74058 | 2006-09-05 |
1578503611 | William Lester Carruth | Dentist | 481 Agency Road, Pawnee, OK 74058-0130 | 2006-06-07 |
1821275744 | Patsy Ann Cooper | Counselor | 540 Illinois St, Pawnee, OK 74058-2036 | 2008-01-22 |
1225158314 | Cockrell Eyecare Center | Optometrist | 534 Illinois St, Pawnee, OK 74058-2036 | 2007-03-30 |
Find all providers in zip 74058 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982233656 | Rural Wellness Fairfax Inc | Clinic/Center | 535 6th St, Pawnee, OK 74058-2542 | 2020-04-05 |
1598039620 | Cah Acquisition Company 12 LLC | Clinic/Center | 535 6th St, Pawnee, OK 74058 | 2012-03-07 |
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.