MEMORIAL HOSPITAL & PHYSICIAN'S GROUP HOME HEALTH CARE (NPI# 1316065584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316065584 |
| Entity Type | Organization |
| Organization Name | MEMORIAL HOSPITAL & PHYSICIAN'S GROUP HOME HEALTH CARE |
| Other Organization Name | COUNTY OF TILLMAN-CITY OF FREDERICK MEMORIAL HOSPITAL |
| Practice Address |
319 E Josephine Ave Frederick OK 73542-2220 |
| Mailing Address |
319 E. Josephine Frederick OK 73542 |
| Practice Telephone | 5803357565 |
| Practice Fax Number | 5803357325 |
| Mailing Telephone | 5803356631 |
| Mailing Fax Number | 5803356607 |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2008-08-11 |
| Authorized Official Name | MRS. NATALIE ANN HILBURN (HOME HEALTH OFFICE MANAGER) |
| Authorized Official Telephone | 5803356631 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEMORIAL HOSPITAL & PHYSICIAN'S GROUP HOME HEALTH CARE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 164W00000X | Licensed Practical Nurse | 7746 | OK | Nursing Service Providers |
| N | 376J00000X | Homemaker | 7746 | OK | Nursing Service Related Providers |
| Y | 163W00000X | Registered Nurse | 7746 | OK | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100700940G | 05 | |
| OK | 100700940F | 05 |
| Other Name | Type Code |
|---|---|
| County of Tillman-City of Frederick Memorial Hospital | Former Legal Business Name - Organization |
| Street Address |
319 E JOSEPHINE AVE |
| City | FREDERICK |
| State | OK |
| Zip Code | 73542-2220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588667554 | County of Tillman-city of Frederick Hospital Authority | General Acute Care Hospital | 319 E Josephine Ave, Frederick, OK 73542-2220 | 2005-05-24 |
| 1821624776 | N Voc #20 | Clinic/Center | 319 E Josephine Ave, Frederick, OK 73542-2220 | 2020-03-22 |
| 1285033282 | Oklahoma Ess LLC | Emergency Medicine | 319 E Josephine Ave, Frederick, OK 73542-2220 | 2014-08-15 |
| 1356740252 | Oklahoma Ess Hospitalist LLC | Internal Medicine | 319 E Josephine Ave, Frederick, OK 73542-2220 | 2014-08-15 |
| 1659714772 | Robert Harold Cortner Jr. | General Practice | 319 E Josephine Ave, Frederick, OK 73542-2220 | 2013-04-08 |
| 1881934883 | Paul D Carpenter | Pharmacist | 319 E Josephine Ave, Frederick, OK 73542-2220 | 2013-02-27 |
| 1366676595 | Sultan LLC | General Practice | 319 E Josephine Ave, Frederick, OK 73542-2220 | 2009-05-01 |
| 1144464256 | Stephanie Alisha Batt | Physician Assistant | 319 E Josephine Ave, Frederick, OK 73542-2220 | 2009-04-21 |
| 1639373574 | Ryan Douglas Ade | Physical Therapist | 319 E Josephine Ave, Frederick, OK 73542-2220 | 2007-06-13 |
| 1356466817 | County of Tillman-city of Frederick Hospital Authority | Medicare Defined Swing Bed Unit | 319 E Josephine Ave, Frederick, OK 73542-2220 | 2007-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275992802 | Cletus Gibbs | Counselor | 1500 North Main, Frederick, OK 73542 | 2016-02-10 |
| 1164834883 | Kimberly Abbott | Case Manager/Care Coordinator | 926 North 13th, Frederick, OK 73542 | 2014-05-29 |
| 1356456156 | Frederick Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 219 E Josephine, Frederick, OK 73542 | 2006-08-20 |
| 1427075324 | Comanche County Healthcare | Family Medicine | 319 E Josephine, Frederick, OK 73542 | 2006-07-16 |
| 1679550115 | City of Frederick | Nursing Facility/Intermediate Care Facility | 319 E. Josephine, Frederick, OK 73542 | 2005-12-27 |
| 1770678138 | Gregory Scott Howard | Chiropractor | 108 South Main Street, Frederick, OK 73542 | 2006-10-03 |
| 1669577474 | Edye A Calderon | Physician Assistant | 319 E Josephine, Frederick, OK 73542 | 2006-09-14 |
| 1982778379 | Frederick Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 1600 N Main St, Frederick, OK 73542-1419 | 2006-11-20 |
| 1003248758 | Hollie Marie Lindsay | Counselor | 1500 N. Main, Frederick, OK 73542-1421 | 2013-08-05 |
| 1528550837 | Jessica Adeliade Smith | Case Manager/Care Coordinator | 1500 N Main St, Frederick, OK 73542-1421 | 2018-06-01 |
| Find all providers in zip 73542 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538769765 | Regine Faucher | Registered Nurse | 5611 Rockledge Ct, Frederick, MD 21703-9493 | 2020-10-27 |
| 1700493160 | Takoya Leggett | Registered Nurse | 2116 Artillery Rd, Frederick, MD 21702-3558 | 2020-09-29 |
| 1760001721 | Deborah Rodriguez-gummo | Registered Nurse | 4009 Carriage Hill Dr, Frederick, MD 21704-7349 | 2020-04-10 |
| 1871132068 | Care for Me Home Care Service | Registered Nurse | 216 Shannonbrook Ln, Frederick, MD 21702-3637 | 2020-01-05 |
| 1104467414 | Khadeja Qubla Ibn Baidoo | Registered Nurse | 4843 Marsden Pl, Frederick, MD 21703-6822 | 2019-10-08 |
| 1356982888 | Rebecca Rosetta Collins | Registered Nurse | 1133 Frontline Dr, Frederick, MD 21703-3906 | 2019-10-06 |
| 1437718699 | Madeline El-ghoul | Registered Nurse | 180 Thomas Johnson Dr Ste 101, Frederick, MD 21702-4489 | 2019-06-11 |
| 1457883175 | Trisha Park | Registered Nurse | 9108 Harlequin Cir, Frederick, CO 80504-9753 | 2017-03-31 |
| 1780139063 | Dustin Berg | Registered Nurse | 8201 Raspberry Dr, Frederick, CO 80504-6772 | 2016-08-17 |
| 1376923672 | Susan Kirch | Registered Nurse | 151 Willowdale Dr, Apt 32, Frederick, MD 21702-1171 | 2015-06-02 |
| Find all providers in FREDERICK | ||||
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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.