PRAGUE HEALTHCARE ALLIANCE INC (NPI# 1316151996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316151996 |
| Entity Type | Organization |
| Organization Name | PRAGUE HEALTHCARE ALLIANCE INC |
| Other Organization Name | PRAGUE MUNICIPAL HOSPITAL |
| Practice Address |
1322 Klabzuba Ave Prague OK 74864-1090 |
| Mailing Address |
Po Box S Prague OK 74864-1090 |
| Practice Telephone | 4055674922 |
| Practice Fax Number | 4055674290 |
| Mailing Telephone | 4055674922 |
| Mailing Fax Number | 4055674290 |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2008-02-04 |
| Authorized Official Name | MRS. JOAN WALTERS (CEO ADMINISTRATOR) |
| Authorized Official Telephone | 4055674922 |
| Is Organization Subpart | Y |
| Parent Organization Name | PRAGUE HEALTHCARE ALLIANCE INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | 2164 | OK | Hospital Units |
| Other Name | Type Code |
|---|---|
| Prague Municipal Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033167879 | Prague Healthcare Alliance Inc | General Acute Care Hospital | 1322 Klabzuba Ave, Prague, OK 74864-1090 | 2006-05-04 |
| 1013133420 | Prague Healthcare Alliance Inc | General Acute Care Hospital | 1322 Klabzuba, Prague, OK 74864 | 2007-04-17 |
| Street Address |
1322 KLABZUBA AVE |
| City | PRAGUE |
| State | OK |
| Zip Code | 74864-1090 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033167879 | Prague Healthcare Alliance Inc | General Acute Care Hospital | 1322 Klabzuba Ave, Prague, OK 74864-1090 | 2006-05-04 |
| 1508464686 | Elizabeth Oakley Haak | Physician Assistant | 1322 Klabzuba Ave, Prague, OK 74864-4900 | 2020-10-12 |
| 1427541150 | Jamie Jones | Nurse Practitioner | 1322 Klabzuba Ave, Prague, OK 74864-4900 | 2018-06-07 |
| 1225541576 | Christine Elizabeth Durini | Nurse Practitioner | 1322 Klabzuba Ave, Prague, OK 74864-4900 | 2017-11-08 |
| 1104361070 | Anndee N. Lee-carter | Physician Assistant | 1322 Klabzuba Ave, Prague, OK 74864-4900 | 2016-12-30 |
| 1184981441 | Cameron C Henderson | Family Medicine | 1322 Klabzuba Ave, Prague, OK 74864-4900 | 2012-04-11 |
| 1144342619 | Jay L Hutchens | Dentist | 1322 Klabzuba Ave, Prague, OK 74864-4000 | 2007-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275093098 | Bristow Endeavor Healthcare, LLC | Family Medicine | 1005 Mitacek Ave, Prague, OK 74864 | 2019-03-20 |
| 1699186817 | Helping Hands Home Care, Pllc | Case Management | 517 Jim Thorpe Blvd, Prague, OK 74864 | 2014-05-09 |
| 1386077121 | Jennifer Cook | Case Manager/Care Coordinator | 971 South Jim Thorpe Blvd, Prague, OK 74864 | 2013-08-15 |
| 1104103316 | Syretta Nikia Pittman | Case Manager/Care Coordinator | 1021 South Jim Thorpe Blvd, Prague, OK 74864 | 2011-11-16 |
| 1891009312 | Chasitee Qwinette Burdine | Contractor | 57533 Moccasin Trail Rd, Prague, OK 74864 | 2010-07-27 |
| 1689908261 | Charles Albert Cashman | Dentist | 1201 Jim Thorpe, Suite One, Prague, OK 74864 | 2009-09-29 |
| 1598911752 | Central Oklahoma Family Medical Center | Clinic/Center | Nbu 1706 Highway 99 South, Prague, OK 74864 | 2008-08-07 |
| 1679746234 | Mark Allen White | Counselor | 1025 Meadowbrook Ave, Prague, OK 74864 | 2008-04-03 |
| 1770751752 | Mary Ann Ward | Physician Assistant | 1322 Klabzuba Avenue, Prague, OK 74864 | 2008-02-13 |
| 1487837167 | Land of Hope | Community/Behavioral Health | 57523 Moccasin Trail Road, Prague, OK 74864 | 2007-12-17 |
| Find all providers in zip 74864 | ||||
| Taxonomy Code | 275N00000X |
| Grouping | Hospital Units |
| Classification | Medicare Defined Swing Bed Unit |
| A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
| Notes: Source: Code of Federal Regulations #42, Section 482.66. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306082300 | Trancendental Union With Love and Spiritual Advancement | Medicare Defined Swing Bed Unit | 1322 Klabzuba Avenue, Prague, OK 74864 | 2008-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568870921 | Seiling Municipal Hospital Authority | Medicare Defined Swing Bed Unit | Us Highway 60, Ne, Seiling, OK 73663 | 2014-07-30 |
| 1396988903 | Cah Acquisition Company 4 Inc | Medicare Defined Swing Bed Unit | 610 W Bypass, Drumright, OK 74030 | 2009-04-13 |
| 1265696090 | Sabine County Hospital District | Medicare Defined Swing Bed Unit | 120 W Macarthur St, Suite 121, Shawnee, OK 74804-2007 | 2008-07-10 |
| 1821269168 | Creek Nation Hospital & Clinics | Medicare Defined Swing Bed Unit | 309 North 14th Street, Okemah, OK 74859-2028 | 2008-03-14 |
| 1104008168 | Blackhawk Mangum LLC | Medicare Defined Swing Bed Unit | One Wickersham Drive, Mangum, OK 73554 | 2007-12-03 |
| 1588733828 | Ahs Henryetta Hospital LLC | Medicare Defined Swing Bed Unit | Dewey, Bartlett and Main, Henryetta, OK 74437 | 2006-11-08 |
| 1396832804 | Okeene Municipal Hospital and Schallmo Authority | Medicare Defined Swing Bed Unit | 207 East F Street, Okeene, OK 73763-0489 | 2006-10-06 |
| 1366412744 | Sayre Memorial Hospital, Inc. | Medicare Defined Swing Bed Unit | 911 Hospital Drive, Sayre, OK 73662-1206 | 2006-01-26 |
| 1578185377 | Haskell Regional Hospital, Inc. | Medicare Defined Swing Bed Unit | 401 Nw H St, Stigler, OK 74462-1625 | 2020-05-14 |
| 1982233466 | Rural Wellness Fairfax Inc | Medicare Defined Swing Bed Unit | 40 Hospital Rd, Fairfax, OK 74637-5084 | 2020-04-06 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on PRAGUE HEALTHCARE ALLIANCE INC.
| 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.