HOLDENVILLE HOSPITAL AUTHORITY (NPI# 1285038596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285038596 |
| Entity Type | Organization |
| Organization Name | HOLDENVILLE HOSPITAL AUTHORITY |
| Other Organization Name | HOLDENVILLE GENERAL HOSPITAL WEWOKA HEALTH CLINIC |
| Practice Address |
1401 W 1st St Wewoka OK 74884-5097 |
| Mailing Address |
100 Mcdougal Dr Holdenville OK 74848-2822 |
| Practice Telephone | 4052573396 |
| Practice Fax Number | 4052576908 |
| Mailing Telephone | 4053794200 |
| Mailing Fax Number | 4053794284 |
| Enumeration Date | 2014-10-15 |
| Last Update Date | 2019-12-10 |
| Authorized Official Name | MR. STEPHEN STEWART (CEO) |
| Authorized Official Telephone | 4053794200 |
| 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 |
|---|---|
| Holdenville General Hospital Wewoka Health Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174942361 | Holdenville Hospital Authority | Clinic/Center | 202 W Broadway, Allen, OK 74825 | 2014-04-15 |
| 1932557816 | Holdenville Hospital Authority | Clinic/Center | 202 W Broadway, Allen, OK 74825 | 2016-06-01 |
| 1902265309 | Holdenville Hospital Authority | Clinic/Center | 100 Mcdougal Dr, Holdenville, OK 74848-2822 | 2016-02-15 |
| 1821417015 | Holdenville Hospital Authority | Medicare Defined Swing Bed Unit | 100 Mcdougal Dr, Holdenville, OK 74848-2822 | 2014-04-15 |
| 1780003970 | Holdenville Hospital Authority | Clinic/Center | 100 Mcdougal Dr, Holdenville, OK 74848-2822 | 2014-04-15 |
| 1871912063 | Holdenville Hospital Authority | Clinic/Center | 100 Mcdougal Dr, Holdenville, OK 74848-2822 | 2014-04-15 |
| 1265851455 | Holdenville Hospital Authority | General Acute Care Hospital | 100 Mcdougal Dr, Holdenville, OK 74848-2822 | 2014-04-15 |
| Street Address |
1401 W 1ST ST |
| City | WEWOKA |
| State | OK |
| Zip Code | 74884-5097 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033103452 | Glenn Crowson Md Inc | Family Medicine | 1401 W 1st St, Wewoka, OK 74884-5097 | 2005-08-31 |
| 1811327612 | Amy Marie Ashley | Nurse Practitioner | 1401 W 1st St, Wewoka, OK 74884-5097 | 2013-11-15 |
| 1124182944 | Latricia Gene Arnold | Family Medicine | 1401 W 1st St, Wewoka, OK 74884-5097 | 2006-12-20 |
| 1851366942 | Glenn Alvin Crowson | Family Medicine | 1401 W 1st St, Wewoka, OK 74884-5097 | 2006-02-22 |
| 1942275409 | Wendy Jean Pingleton | Nurse Practitioner | 1401 W 1st St, Wewoka, OK 74884-5097 | 2006-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841798626 | Luvey Deatherage | Physician Assistant | 36640 Old Hwy 270, Wewoka, OK 74884 | 2018-01-26 |
| 1730604422 | Robert Adarme Montanez | Pharmacist | 36640 Hwy 270 Barking Water Rd, Wewoka, OK 74884 | 2017-08-03 |
| 1447788484 | Domika Kinman | Dental Hygienist | 36640 Highway 270, Wewoka, OK 74884 | 2017-06-02 |
| 1942737101 | Aaron Jahmal Johnson | Pharmacist | 36640 Hwy 270 and Barking Water Road, Wewoka, OK 74884 | 2017-05-18 |
| 1912434689 | Shannon Lowe | Pharmacist | 36640 Hwy 270 & Barkingwater Rd, Wewoka, OK 74884 | 2017-05-12 |
| 1225483522 | Indian Health Service-wewoka | Clinic/Center | Jct Hwys 56 & 270, Wewoka, OK 74884 | 2016-04-25 |
| 1093184145 | East Central Oklahoma Family Health Center, Inc. | Clinic/Center | 121 N. Mekusukey Avenue, Wewoka, OK 74884 | 2015-09-18 |
| 1841667441 | Chandler Hall | Dentist | Hwy 56 and 270 Jct, Wewoka, OK 74884 | 2015-08-31 |
| 1285989459 | Sherry Goines Loving | Counselor | 221 N. Wewoka Ave, Wewoka, OK 74884 | 2012-07-13 |
| 1053681346 | Misty Smith | Dental Hygienist | Hwy 270 & 56 Jct, Wewoka, OK 74884 | 2012-01-04 |
| Find all providers in zip 74884 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| 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 | ||||
Please comment or provide details below to improve the information on HOLDENVILLE HOSPITAL AUTHORITY.
| 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.