WATONGA HOSPITAL TRUST AUTHORITY (NPI# 1396785655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396785655 |
| Entity Type | Organization |
| Organization Name | WATONGA HOSPITAL TRUST AUTHORITY |
| Other Organization Name | WATONGA MUNICIPAL HOSPITAL |
| Practice Address |
500 N Clarence Nash Blvd Watonga OK 73772-2845 |
| Mailing Address |
500 N Clarence Nash Blvd Po Box 370 Watonga OK 73772-2845 |
| Practice Telephone | 5806237211 |
| Practice Fax Number | 5806237405 |
| Mailing Telephone | 5806237211 |
| Mailing Fax Number | 5806237405 |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2011-08-24 |
| Authorized Official Name | BARBARA A TALLANT (ADMINISTRATOR) |
| Authorized Official Telephone | 5806237211 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
2214 | OK | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 700700210C | 05 | |
| OK | 100700210E | 05 | |
| OK | BLUE CROSS BLUE SHIELD | 000370005001 | 01 |
| OK | 100200710A | 05 |
| Other Name | Type Code |
|---|---|
| Watonga Municipal Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578555777 | Watonga Hospital Trust Authority | General Acute Care Hospital | 500 N Clarence Nash Blvd, Watonga, OK 73772-2845 | 2005-08-16 |
| 1528215886 | Watonga Hospital Trust Authority | Ambulance | 500 N Clarence Nash Blvd, Pob 370, Watonga, OK 73772-2845 | 2008-08-19 |
| Street Address |
500 N CLARENCE NASH BLVD |
| City | WATONGA |
| State | OK |
| Zip Code | 73772-2845 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578555777 | Watonga Hospital Trust Authority | General Acute Care Hospital | 500 N Clarence Nash Blvd, Watonga, OK 73772-2845 | 2005-08-16 |
| 1437598984 | Mercy Hospital Watonga, Inc. | General Acute Care Hospital | 500 N Clarence Nash Blvd, Watonga, OK 73772-2845 | 2013-06-18 |
| 1497017529 | Mercy Hospital Watonga Inc | General Acute Care Hospital | 500 N Clarence Nash Blvd, Watonga, OK 73772-2845 | 2012-06-14 |
| 1801158522 | Mercy Hospital Watonga Inc | Medicare Defined Swing Bed Unit | 500 N Clarence Nash Blvd, Watonga, OK 73772-2845 | 2012-06-08 |
| 1821394461 | Jerome Dario Aldo Dinan | Physician Assistant | 500 N Clarence Nash Blvd, Watonga, OK 73772-2845 | 2011-01-30 |
| 1518115161 | Carlos Venegas Jr. | Nurse Practitioner | 500 N Clarence Nash Blvd, Watonga, OK 73772-2845 | 2008-09-08 |
| 1528215886 | Watonga Hospital Trust Authority | Ambulance | 500 N Clarence Nash Blvd, Pob 370, Watonga, OK 73772-2845 | 2008-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225546815 | Sabrina Marie Yoder | Case Manager/Care Coordinator | 115 East 1st Street, Watonga, Ok, OK 73772 | 2018-01-17 |
| 1285150847 | Miriam Vaughan | Community Health Worker | 115 1/2 E 1st St, Watonga, OK 73772 | 2017-08-16 |
| 1053697649 | Marlin R Giles | Community/Behavioral Health | 403 Clarence Nash, Watonga, OK 73772 | 2011-10-26 |
| 1174811681 | Matthew Giles | Community/Behavioral Health | 1114 Villa Dr., Watonga, OK 73772 | 2011-07-18 |
| 1003127937 | Linda Jolane Scott | Counselor | 115 E. 1st Street, Watonga, OK 73772 | 2010-06-25 |
| 1063686764 | Brianna Auge | Counselor | 214 'a' Street, Watonga, OK 73772 | 2008-04-15 |
| 1770778417 | Jaycif A Justice | Social Worker | 216 W 'a' St., Watonga, OK 73772 | 2007-09-06 |
| 1609938984 | Flauryse M Baguidy | Dentist | Rr 1 Hwy 281 South, Usphs Ihs Watonga Health Center, Watonga, OK 73772 | 2006-12-14 |
| 1437603768 | City of Watonga | Ambulance | 305 W Main, Watonga, OK 73772 | 2016-08-03 |
| 1982976742 | Richard Zielinski Md, Pllc | Psychiatry & Neurology | 712 W 3rd St, Watonga, OK 73772 | 2012-02-08 |
| Find all providers in zip 73772 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437598984 | Mercy Hospital Watonga, Inc. | General Acute Care Hospital | 500 N Clarence Nash Blvd, Watonga, OK 73772-2845 | 2013-06-18 |
| 1497017529 | Mercy Hospital Watonga Inc | General Acute Care Hospital | 500 N Clarence Nash Blvd, Watonga, OK 73772-2845 | 2012-06-14 |
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|---|---|---|---|---|
| 1285047779 | Cordell Hospital Authority | General Acute Care Hospital | 1109 N Glenn L. English St, Cordell, OK 73632-2010 | 2014-06-03 |
| 1083048417 | Mercy Hospital Kingfisher, Inc | General Acute Care Hospital | 1000 Kingfisher Regional Hospital Drive, Kingfisher, OK 73750 | 2013-08-21 |
| 1326352204 | Weatherford Hospital Authority | General Acute Care Hospital | 3727 Legacy, Weatherford, OK 73096 | 2010-08-03 |
| 1922329853 | Cah Acquisition Company 16 LLC | General Acute Care Hospital | 401 Nw H Street, Stigler, OK 74462 | 2010-06-15 |
| 1427295872 | Cleveland Area Hospital Holdings, Inc. | General Acute Care Hospital | 1401 West Pawnee, Cleveland, OK 74020 | 2009-01-07 |
| 1427234566 | Tulsa Hospitalists | General Acute Care Hospital | 15608 Traditions Dr, Edmond, OK 73013-1150 | 2008-01-19 |
| 1942486733 | Mercy Hospital of Pittsburgh | General Acute Care Hospital | 1100 N Lindsay Ave, Oklahoma City, OK 73104-5410 | 2008-01-11 |
| 1053447086 | Jane Phillips Nowata Health Center | General Acute Care Hospital | 237 S Locust St, Nowata, OK 74048-3660 | 2007-02-26 |
| 1073617619 | Seiling Municipal Hospital Authority | General Acute Care Hospital | Hwy 60, Ne, Seiling, OK 73663 | 2006-09-12 |
| 1497857437 | Roger Mills County Hospital Authority | General Acute Care Hospital | 501 S Ll Males Ave, Cheyenne, OK 73628-0219 | 2006-09-01 |
| 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.