JANE PHILLIPS MEMORIAL MEDICAL CENTER, INC. (NPI# 1427428986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427428986 |
| Entity Type | Organization |
| Organization Name | JANE PHILLIPS MEMORIAL MEDICAL CENTER, INC. |
| Practice Address |
3500 E Frank Phillips Blvd Bartlesville OK 74006-2411 |
| Practice Telephone | 9183337200 |
| Practice Fax Number | 9183311447 |
| Mailing Telephone | 9183337200 |
| Mailing Fax Number | 9183311447 |
| Enumeration Date | 2015-09-28 |
| Last Update Date | 2015-09-28 |
| Authorized Official Name | MICHAEL ALLEN MOORE (COO) |
| Authorized Official Telephone | 9183311644 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | 2190 | OK | Hospital Units |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962547026 | Jane Phillips Memorial Medical Center, Inc. | Psychiatric Unit | 3500 E Frank Phillips Blvd, Bartlesville, OK 74006-2411 | 2007-02-20 |
| 1730223090 | Jane Phillips Memorial Medical Center, Inc. | Clinic/Center | 3500 State St, Bartlesville, OK 74006-2932 | 2007-02-19 |
| 1215914254 | Jane Phillips Memorial Medical Center, Inc. | General Acute Care Hospital | 3500 E Frank Phillips Blvd, Bartlesville, OK 74006-2411 | 2005-12-30 |
| Street Address |
3500 E FRANK PHILLIPS BLVD |
| City | BARTLESVILLE |
| State | OK |
| Zip Code | 74006-2411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376544858 | Erin S Claiborne | Pharmacist | 3500 E Frank Phillips Blvd, Bartlesville, OK 74006-2411 | 2005-08-09 |
| 1346887601 | Jennifer Caroline Rademacher | Physical Therapist | 3500 E Frank Phillips Blvd, Bartlesville, OK 74006-2411 | 2019-12-05 |
| 1730631912 | Kelsey Riebel | Physician Assistant | 3500 E Frank Phillips Blvd, Bartlesville, OK 74006-2411 | 2016-11-03 |
| 1750830147 | Brittaney Huddleston | Occupational Therapist | 3500 E Frank Phillips Blvd, Bartlesville, OK 74006-2411 | 2016-09-26 |
| 1265893044 | Brenda Ann Volz | Registered Nurse | 3500 E Frank Phillips Blvd, Bartlesville, OK 74006-2411 | 2016-03-08 |
| 1841695962 | Jerusha Marie Coward | Pharmacist | 3500 E Frank Phillips Blvd, Bartlesville, OK 74006-2411 | 2014-10-31 |
| 1326443565 | Jane Phillips Memorial Medical Center Inc | Pharmacy | 3500 E Frank Phillips Blvd, Bartlesville, OK 74006-2411 | 2014-10-30 |
| 1760882427 | Ashley Gilliland | Nurse Practitioner | 3500 E Frank Phillips Blvd, Bartlesville, OK 74006-2411 | 2014-09-01 |
| 1720499585 | Merry Margaret Huber | Clinical Nurse Specialist | 3500 E Frank Phillips Blvd, Bartlesville, OK 74006-2411 | 2014-05-14 |
| 1508202839 | Stanley Glendal Foster | Nurse Anesthetist, Certified Registered | 3500 E Frank Phillips Blvd, Bartlesville, OK 74006-2411 | 2013-05-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124646252 | Ntcob LLC | Family Medicine | 234 Se De Bell Ave, Bartlesville, OK 74006 | 2020-07-06 |
| 1053936815 | Priscella Ann Caron | Nurse Practitioner | 226 Se De Bell Ave Building B, Bartlesville, OK 74006 | 2020-06-08 |
| 1508390840 | Megan Christopher | Student in an Organized Health Care Education/Training Program | 3400 Se Frank Phillips Blvd, Suite 502, Bartlesville, OK 74006 | 2017-04-13 |
| 1518339811 | Dori Raycob | Registered Nurse | 3400 Se Frank Phillips Blvd Suite 300, Bartlesville, OK 74006 | 2015-10-26 |
| 1023487436 | Katherine Marie Anderson | Nurse Practitioner | 3500 Sw Frank Phillips, Bartlesville, OK 74006 | 2015-09-16 |
| 1033593207 | Quanisha Roberson | Clinical Nurse Specialist | 226 Se De Bell Avenue, Building A, Suite 101, Bartlesville, OK 74006 | 2015-07-16 |
| 1588064604 | Vance Wayne Blackwell Jr. | Counselor | 2200 Se Washinton Blvd., Bartlesville, OK 74006 | 2014-08-26 |
| 1619314937 | Scott Ethan Sonico | Dentist | 1224 Se Washington Blvd, Bartlesville, OK 74006 | 2013-05-28 |
| 1417229485 | Vernon Lee Newby | Veterinarian | 817 Madison Blvd., Bartlesville, OK 74006 | 2012-02-06 |
| 1306083720 | Sherry M Wilson | Counselor | 3925-g Frank Phillips Blvd., Bartlesville, OK 74006 | 2009-01-08 |
| Find all providers in zip 74006 | ||||
| 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 |
|---|---|---|---|---|
| 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 | ||||
| City | BARTLESVILLE |
| Zip Code | 74006 |
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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.